SearchWashington1041C0700X

Joann Moffitt

NPI 1821268483 · on the registry since 2008 · sole proprietor

Practice

Address
12601 11th Ave Ne
Tulalip, WA 98271
Phone
(425) 876-1010

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101Y00000X
1041S0200X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington