Individual
PEGGY MOORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
3399 POLLOCK RD, GRAND BLANC, MI 48439-8393
(810) 603-0170
(810) 579-1705
Mailing address
3399 POLLOCK RD, GRAND BLANC, MI 48439-8393
(810) 603-0170
(810) 579-1705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704164602
MI
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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