LANISE MOODY

GRAND RAPIDS, MI
NPI1154037687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-01-27
Last Update Date2023-01-27
Business Address
LANISE MOODY
4218 BURTON ST SE
GRAND RAPIDS, MI 49546-6121
Phone number: 616-301-8000
Mailing Address
LANISE MOODY
645 W WILLOW ST APT 305
LANSING, MI 48906-4752
Phone number: 517-507-8866
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