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Estelle Moss
NPI 1912576653 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1450 Broadway St
Niles, MI 49120 - Phone
- (269) 861-9569
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-17
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