Individual
CASSSAUNDRA LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA60142017
Contact information
Practice address
5343 TALLMAN AVE NW STE 103, SEATTLE, WA 98107-3940
(206) 653-5448
Mailing address
7204 27TH AVE NE, SEATTLE, WA 98115-5822
(206) 653-5448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60142017
WA
Other
Enumeration date
11/26/2011
Last updated
11/26/2011
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