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Individual
MELISSA RENE MOSS
Active
Individual
MELISSA RENE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.A
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
376K00000X
Nurse's Aide
230014498110709
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230014498110709
C.N.A
MI
Enumeration date
01/22/2019
Last updated
12/09/2025
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