Individual
JUANITA MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19345 ROSEMONT AVE, DETROIT, MI 48219-2112
(248) 818-4571
Mailing address
19345 ROSEMONT AVE, DETROIT, MI 48219-2112
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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