Individual
RAHA LOIS CHERETTE-MOUZOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 456-0842
Mailing address
15027 152ND AVE, GRAND HAVEN, MI 49417-9568
(248) 794-9708
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4351051409
MI
Other
Enumeration date
06/30/2021
Last updated
06/06/2023
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