Individual
SALLY GRIBBEN-MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-0450
Mailing address
24724 MELODY RD, WARREN, MI 48089-4749
(248) 420-3248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704295388
MI
Other
Enumeration date
07/07/2018
Last updated
06/26/2025
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