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Vernice Moore
NPI 1922457605 · on the registry since 2016
Practice
- Address
- 14030 Lakeside Blvd N
Bldg C Apt 230
Shelby Township, MI 48315 - Phone
- (313) 574-3093
- Organisation at this address
- Salvation Army Harbor Light Macomb
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-03
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