Individual
PATRICK MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5648 E HILLCREST DR, PORT ORCHARD, WA 98366-8120
(863) 585-5528
Mailing address
PO BOX 571, PORT ORCHARD, WA 98366-0571
(863) 585-5528
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
PMD510183
FL
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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