Individual
JAIME MOOAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 E CAYUGA ST, BELLAIRE, MI 49615-9180
(231) 533-8619
Mailing address
203 E CAYUGA ST, BELLAIRE, MI 49615-9180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704292575
MI
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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