Individual
MRS. TONYA MARETTA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25822 W 6 MILE RD, REDFORD, MI 48240-2211
(313) 286-3031
(313) 286-3135
Mailing address
24633 PEMBROOKE DR, SOUTHFIELD, MI 48033-3159
(248) 755-5482
(313) 286-3135
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704204426
MI
Other
Enumeration date
12/15/2010
Last updated
02/07/2023
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