Individual
JESSICA MOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(253) 691-7037
Mailing address
758 SAINT MICHAEL ST APT 413, MOBILE, AL 36602-1305
(253) 691-7037
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
60537083
WA
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
9674
FL
Other
Enumeration date
09/04/2013
Last updated
04/26/2020
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