Individual
CAITLIN DARLENE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16821 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-0499
(360) 207-0651
Mailing address
16821 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-0499
(360) 207-0651
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU60920869
WA
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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