Mira Luna Fuentes Moore
Mira Luna Fuentes Moore is an Adult Development & Aging Psychologist in Wyandotte, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1874 4th StWyandotte, MI 48192-3905
Phone: (734) 828-9599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Development & Aging Psychologist (primary) | Taxonomy 103TA0700X |
|---|
Record details
| NPI number | 1265183115 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2022 |
| Last updated in NPPES | January 12, 2022 |
| Certification date | January 12, 2022 |