Individual
ALYSSIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
26657 WOODWARD AVE STE 200, HUNTINGTON WOODS, MI 48070-1304
(248) 957-7999
Mailing address
26657 WOODWARD AVE STE 200, HUNTINGTON WOODS, MI 48070-1304
(248) 398-8400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007869
MI
Other
Enumeration date
08/31/2016
Last updated
11/02/2017
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