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Individual

DONALD JACK MOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
32619 NE 50TH ST, CARNATION, WA 98014-6305
(425) 333-5544
Mailing address
32619 NE 50TH ST, CARNATION, WA 98014-6305
(425) 333-5544

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00032290
WA

Other

Enumeration date
06/01/2012
Last updated
06/01/2012
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