Individual
MICHELLE LYNN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15242 N HOLLY RD, HOLLY, MI 48442-1141
(248) 634-2314
Mailing address
15242 N HOLLY RD, HOLLY, MI 48442-1141
(248) 634-2314
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303010088
MI
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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