Individual
SARAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 257, PMB 10645, OLYMPIA, WA 98507
(910) 585-7660
Mailing address
PO BOX 257, PMB 10645, OLYMPIA, WA 98507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
149424
WA
Other
Enumeration date
02/15/2024
Last updated
07/22/2024
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