STACEE JEVANA MOSS

DETROIT, MI
NPI1659082808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703123046)
Enumeration Date2022-12-08
Last Update Date2022-12-08
Business Address
STACEE JEVANA MOSS LPN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
STACEE JEVANA MOSS LPN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number:
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