NPI 1164026944

Cesserie Samantha Moyer, PAC

Practitioner Physician Assistant Joint Base Lewis McChord, WA

Practice location

Address: 9040 Jackson Ave, Joint Base Lewis McChord, WA 98431-9843
Phone: (253) 966-9818
Mailing address: 17511 75th Avenue CT E, Puyallup, WA 98375-2536

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1164026944
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2020
Record last updated: 27 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.