Individual
JAIME MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 RAILROAD AVE STE 100, BELLINGHAM, WA 98225-5054
(360) 676-2164
Mailing address
1133 RAILROAD AVE STE 100, BELLINGHAM, WA 98225-5054
(360) 676-2164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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