Individual
HAMEDAH MOSED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14507 WOODWARD AVE, HIGHLAND PARK, MI 48203-2905
(313) 723-6100
Mailing address
1945 VENICE ST, DEARBORN, MI 48124-4140
(313) 460-9988
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2022007784
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704328823
MI
Other
Enumeration date
09/29/2022
Last updated
10/30/2023
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