Individual
JULIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3272 PLATINUM NE, GRAND RAPIDS, MI 49525
(616) 226-2669
Mailing address
1 CAMPUS DR, ALLENDALE, MI 49401-9401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
01/05/2026
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