Individual
KENDRA E MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1899 ORCHARD LAKE RD STE 101, SYLVAN LAKE, MI 48320-1775
(248) 933-5512
Mailing address
1899 ORCHARD LAKE RD STE 101, SYLVAN LAKE, MI 48320-1775
(248) 933-5512
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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