Individual
MS. JACQUELINE B MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD # VA23511, NORFOLK, VA 23511-2803
(757) 953-8547
Mailing address
5224 WINDSOR LANE, VIRGINIA BEACH, VA 23464
(757) 953-8547
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402003200
VA
Other
Enumeration date
05/02/2007
Last updated
12/02/2022
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