Individual
LATOYA ELIZABETH MOORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4218 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
(616) 301-8000
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/21/2019
Last updated
11/18/2022
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