Individual
TERESA K MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6200 CAPITOL BLVD SE, STE C, TUMWATER, WA 98501-5288
(360) 878-8538
Mailing address
6200 CAPITOL BLVD SE, STE C, TUMWATER, WA 98501-5288
(360) 878-8538
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA21550
WA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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