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Individual

DESARAE S MOORER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7800
Mailing address
14817 E 12 MILE RD, WARREN, MI 48088-4004
(313) 575-4211

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704392950
MI

Other

Enumeration date
10/12/2018
Last updated
08/20/2025
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