Individual
DARCEL LEANN INGRAM MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 ARLINGTON ST, INKSTER, MI 48141-1247
(313) 918-7853
Mailing address
178 ARLINGTON ST, INKSTER, MI 48141-1247
(313) 918-7853
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
230015346550711
MI
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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