Individual
BRIANA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 CONNER ST, DETROIT, MI 48215-2201
(313) 924-7860
(313) 821-5759
Mailing address
4401 CONNER ST, DETROIT, MI 48215-2201
(313) 924-7860
(313) 821-5759
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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