Individual
KIMBERLY MOUZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16909 PRAIRIE ST, DETROIT, MI 48221-2916
(313) 699-1207
Mailing address
16909 PRAIRIE ST, DETROIT, MI 48221-2916
(313) 699-1207
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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