Individual
TAMARA MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 S VANCOUVER ST, KENNEWICK, WA 99337-3749
(509) 222-6800
Mailing address
1000 W 4TH AVE, KENNEWICK, WA 99336-5533
(509) 222-5000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00054117
WA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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