Individual
MR. DESMOND MOSLEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
32 EAST, 1200 TELEGRAPH RD, PONTIAC, MI 48341
(800) 231-1127
Mailing address
30200 TELEGRAPH RD STE 300, BINGHAM FARMS, MI 48025-4503
(248) 451-3746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704340250
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704340250
MI
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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