Individual
CYNTHIA ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3917 RIVERS PT, MONROE, MI 48161-9095
(419) 464-8854
Mailing address
3917 RIVERS PT, MONROE, MI 48161-9095
(419) 464-8854
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117373
MI
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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