Individual
ALISHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41512 WEB. 11 MILES RD, NOVI, MI 48375
(248) 299-0030
Mailing address
5981 CRESTMOOR DR SE, GRAND RAPIDS, MI 49508-6511
(616) 635-4930
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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