Individual
MS. ALLYA ELIZABETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
805B METCALF ST, SEDRO WOOLLEY, WA 98284-1422
(206) 353-9453
Mailing address
805B METCALF ST, SEDRO WOOLLEY, WA 98284-1422
(206) 353-9453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13140
WA
Other
Enumeration date
07/02/2007
Last updated
01/17/2014
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