Individual
JUSTINE NICA MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDHS
Contact information
Practice address
650 S HARBOR DR, GRAND HAVEN, MI 49417-1742
(616) 850-2520
(616) 850-2521
Mailing address
650 S HARBOR DR, GRAND HAVEN, MI 49417-1742
(616) 850-2520
(616) 850-2521
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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