Individual
ALICE GAIL MOON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSRD, PAC
Contact information
Practice address
20010 FARMINGTON RD, LIVONIA, MI 48152-1408
(248) 471-7171
(248) 471-1212
Mailing address
20010 FARMINGTON RD, LIVONIA, MI 48152-1408
(248) 471-7171
(248) 471-1212
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
577469
MI
363A00000X
Physician Assistant
5601002478
MI
Other
Enumeration date
06/05/2006
Last updated
09/11/2025
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