Individual
SHIRLEY ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.AC.
Contact information
Practice address
2621 W WACKERLY ST, SUITE E, MIDLAND, MI 48640-6993
(989) 496-7472
(989) 633-9130
Mailing address
2621 W WACKERLY ST, SUITE E, MIDLAND, MI 48640-6993
(989) 496-7472
(989) 633-9130
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
R1200292
ZZ
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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