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Individual

KHADIJAH BRIANA MOYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5623 E HICKORY HOLLOW ST, WAYNE, MI 48184-2615
(734) 780-9623
Mailing address
5623 E HICKORY HOLLOW ST, WAYNE, MI 48184-2615
(734) 780-9623

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
376K00000X
Nurse's Aide
MI09262023137984
MI

Other

Enumeration date
10/19/2023
Last updated
10/19/2023
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