Individual
LAFRAN STEVENS-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21921 SUSSEX ST, OAK PARK, MI 48237-3511
(248) 275-4807
Mailing address
21921 SUSSEX ST, OAK PARK, MI 48237-3511
(248) 275-4807
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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