Individual
SANDRA J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25545 BRIAR DR, OAK PARK, MI 48237-1335
(313) 407-2198
Mailing address
14256 CLOVERLAWN ST, DETROIT, MI 48238-2430
(313) 407-2198
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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