Shannon Moore
Shannon Moore is an Other Technician in Dearborn, Michigan. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
24837 Princeton StDearborn, MI 48124-4457
Phone: (313) 574-8749
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1316327851 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 30, 2015 |
| Last updated in NPPES | May 30, 2015 |
| Mailing address | 24837 Princeton St, Dearborn, MI 48124-4457 |
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