Individual
LADAWNA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8306 MAXWELL ST, DETROIT, MI 48213-2165
(313) 243-6249
Mailing address
1720 BROWNING ST, FERNDALE, MI 48220-3400
(313) 243-6249
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
MI
Other
Enumeration date
03/16/2026
Last updated
04/06/2026
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