Individual
CLARISSA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3742 HAYES ST NE, WASHINGTON, DC 20019-1722
(202) 629-8572
Mailing address
3742 HAYES ST NE, WASHINGTON, DC 20019-1722
(202) 629-8572
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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