Search › Washington › 3747A0650X
Sully Moon, IP
NPI 1982326914 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1410 N Caufield Ct
Liberty Lake, WA 99016 - Phone
- (360) 525-5996
Registry record
- Primary taxonomy
- 3747A0650X
3747A0650X
- Sex
- Male
- Record last updated
- 2022-09-15
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