CLINTONARY MOORE
Licensed Practical Nurse
Active
Individual
NPI: 1861854911
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 4703091879 (MI) |
Frequently Asked Questions
NPI 1861854911 is the National Provider Identifier for CLINTONARY MOORE, a Licensed Practical Nurse provider located in Grand Blanc, MI. This NPI was enumerated on March 27, 2016.
CLINTONARY MOORE practices at 5428 COUNTRY CLUB LN, Grand Blanc, MI 48439.
Quick Facts
- NPI
- 1861854911
- Type
- Individual
- Enumerated
- Mar 27, 2016
- Last Updated
- Mar 27, 2016
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