Individual
RAUSHON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2521 N ELMS RD, FLUSHING, MI 48433-9423
(866) 498-3909
Mailing address
2521 N ELMS RD, FLUSHING, MI 48433-9423
(866) 498-3909
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703126077
MI
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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