Individual
MS. LAUREN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
12281 PINE ST, TAYLOR, MI 48180-4012
(313) 720-8860
Mailing address
12281 PINE ST, TAYLOR, MI 48180-4012
(313) 720-8860
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MI
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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