Individual
JAMIE DONNA MOERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 CLAYTON CT, WESTLAND, MI 48186-5415
(734) 329-2412
Mailing address
2814 CLAYTON CT, WESTLAND, MI 48186-5415
(734) 329-2412
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703057593
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703057593
LPN-LICENSED PRACTICAL NURSE
MI
Enumeration date
07/16/2010
Last updated
07/16/2010
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