Individual
TINA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 BYRON RD, HOWELL, MI 48855-6772
(517) 552-9323
Mailing address
1500 BYRON RD, HOWELL, MI 48855-6772
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
M048706
MI
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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