Individual
JELANI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2611 RIDGEMOOR DR SE, GRAND RAPIDS, MI 49512-1636
(616) 337-1332
Mailing address
2611 RIDGEMOOR DR SE, GRAND RAPIDS, MI 49512-1636
(616) 337-1332
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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