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Jacki L Moon, LMT
Specialist in Lake Stevens, Washington
NPI 1629273008

Jacki L Moon is a Specialist based in Lake Stevens, WA. Jacki L Moon practices in Lake Stevens, WA and has the professional credentials of LMT. The NPI Number for Jacki L Moon is 1629273008 and holds a License No. MA00004663 (Washington).

The current practice location address for Jacki L Moon is 10519 20Th St. Se, Lake Stevens, WA and can be reached out via phone at 425-397-4900 and via fax at 425-397-6900.

Location: 10519 20Th St. Se, Lake Stevens, WA, 98258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629273008
Provider Name
Jacki L Moon
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
10519 20Th St. Se, Lake Stevens, WA, 98258
Phone Number
425-397-4900
Fax Number
425-397-6900
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10519 20Th St. Se
City
Lake Stevens
State
Washington
Zip
98258
Phone Number
425-397-4900
Fax Number
425-397-6900
person
Provider Business Mailing Address Details
Address
10519 20Th St. Se
City
Lake Stevens
State
Washington
Zip
98258
Phone Number
425-397-4900
Fax Number
425-397-6900
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00004663 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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