Individual
MARCELLA MOSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 OAK BEACH RD, PORT AUSTIN, MI 48467-9767
(989) 424-8082
Mailing address
3200 OAK BEACH RD, PORT AUSTIN, MI 48467-9767
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703055745
MI
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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