Individual
JENNIFER MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14205 SE 36TH ST STE 100-288, BELLEVUE, WA 98006-1596
(646) 479-4725
Mailing address
14205 SE 36TH ST STE 100, BELLEVUE, WA 98006-1553
(646) 479-4725
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
BD61677032
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
03/28/2017
Last updated
05/08/2026
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