Individual
SAMELLA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12026 W OUTER DR, DETROIT, MI 48223-2585
(313) 532-1312
Mailing address
17179 MELROSE ST, SOUTHFIELD, MI 48075-7604
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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