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Jelani Moore
NPI 1851183008 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2611 Ridgemoor Dr Se
Grand Rapids, MI 49512 - Phone
- (616) 337-1332
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Male
- Record last updated
- 2025-05-21
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