Search › Michigan › 101YP2500X
Jacquan Moore, MS
NPI 1588232433 · on the registry since 2021
Practice
- Address
- 19605 Alger St
Saint Clair Shores, MI 48080 - Phone
- (586) 943-6079
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Sex
- Male
- Record last updated
- 2021-06-16
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