Individual
JESSE KINCAID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4340 BORGEN BLVD, GIG HARBOR, WA 98332-7000
(253) 313-0704
Mailing address
4340 BORGEN BLVD, GIG HARBOR, WA 98332-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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