Individual
MONESHA MARIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29555 LAUREL WOODS DR APT 205, SOUTHFIELD, MI 48034-4664
(313) 422-5369
Mailing address
15400 GILCHRIST ST, DETROIT, MI 48227-1575
(313) 422-5369
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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