TRACY MOORE

ANCHORAGE, AK
NPI1588024483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AK  119517)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: OR  LD-D-10161588)
Enumeration Date2016-03-04
Last Update Date2017-04-04
Business Address
TRACY MOORE RD
3220 PROVIDENCE DR SUITE E3-030
ANCHORAGE, AK 99508-4679
Phone number: 907-212-7982
Mailing Address
TRACY MOORE RD
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068