Yolanda Moore

NPI 1245441278 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1245441278
Gender Female
Enumeration Date 05/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
13929 HARPER AVE
DETROIT MI, 48213-3672, US
Phone (313) 371-0055
Fax (313) 371-1409
Business Location
10771 SOMERSET AVE
DETROIT MI, 48224-1733, US
Phone (313) 826-6524
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Michigan
License Number 4703080368
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According to our database, Yolanda Moore NPI is 1245441278, taxonomy code is 164W00000X and license number is 4703080368, license state is located at Michigan. Yolanda Moore physically located at 13929 Harper Ave, Detroit MI, 48213-3672. NPI Number Yolanda Moore has the Individual type.

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1245441278 NPI number is provided on an as is basis without warranty of any kind. 1245441278 is maintained by the National Plan & Provider Enumeration System. The contents of Yolanda Moore are for informational purposes only.