Individual
MR. GREGORY LYNN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7307 NE 69TH ST, VANCOUVER, WA 98662-4398
(360) 258-4920
Mailing address
7307 NE 69TH ST, VANCOUVER, WA 98662-4398
(360) 258-4920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200742871RN
OR
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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