Individual
MRS. PAMELA ANNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
12703 LEYDEN ST UNIT E, THORNTON, CO 80602-5226
(720) 289-5829
(303) 466-2416
Mailing address
12703 LEYDEN ST UNIT E, THORNTON, CO 80602-5226
(720) 289-5829
(303) 466-2416
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5093
CO
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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