Individual
JULIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 WALNUT ST STE 1504, PHILADELPHIA, PA 19102-2910
(215) 205-1815
Mailing address
2532 SWAIN ST, PHILADELPHIA, PA 19130-2411
(215) 205-1815
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001244
PA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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