Individual
MRS. LYANNA RENAY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA, CLS
Contact information
Practice address
6062 SKIPTON DR SW, GRAND RAPIDS, MI 49548-6764
(313) 663-1833
Mailing address
6062 SKIPTON DR SW, GRAND RAPIDS, MI 49548-6764
(313) 663-1833
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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