Individual
DR. DIANE MOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
12517 26TH AVE NE, SEATTLE, WA 98125-4301
(704) 651-4126
Mailing address
12517 26TH AVE NE, SEATTLE, WA 98125-4301
(704) 651-4126
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60421434
WA
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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