Individual
JUNIPER TIFANI MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-1744
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP61502076
WA
367A00000X
Advanced Practice Midwife
MW60723964
WA
Other
Enumeration date
08/03/2017
Last updated
01/02/2024
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