Individual
JOANN CARMESHA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9313 MONTROSE ST, DETROIT, MI 48228-2126
(313) 293-0423
Mailing address
8203 ROBSON ST, DETROIT, MI 48228-2457
(313) 690-9324
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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