SearchMichigan251E00000X

Destini Moore

NPI 1235007626 · on the registry since 2025 · sole proprietor

Practice

Address
20101 Houghton St
Detroit, MI 48219
Phone
(734) 572-6127

Registry record

Primary taxonomy
251E00000X
251E00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan