Angelique Moore RN

NPI 1477876019 - Registered Nurse - 163W00000X

NPI Details
NPI 1477876019
Gender Female
Enumeration Date 03/10/2010
Last Updated 03/10/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
15801 W MCNICHOLS RD
DETROIT MI, 48235-3543, US
Phone (313) 272-8450
Fax (313) 272-8455
Business Location
15801 W MCNICHOLS RD
DETROIT MI, 48235-3543, US
Phone (313) 272-8450
Fax (313) 272-8455
Toxanomy
Taxonomy Code 163W00000X
License State Michigan
License Number 4704195802
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According to our database, Mrs. Angelique Moore RN NPI is 1477876019, taxonomy code is 163W00000X and license number is 4704195802, license state is located at Michigan. Angelique Moore RN physically located at 15801 W Mcnichols Rd, Detroit MI, 48235-3543. NPI Number Angelique Moore RN has the Individual type.

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1477876019 NPI number is provided on an as is basis without warranty of any kind. 1477876019 is maintained by the National Plan & Provider Enumeration System. The contents of Angelique Moore RN are for informational purposes only.