Individual
CARLEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
11821 NE 128TH ST, SUITE B, KIRKLAND, WA 98034-7210
(425) 814-2800
Mailing address
13707 70TH AVE NE, KIRKLAND, WA 98034-5001
(206) 495-5800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60271603
WA
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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