CHIQUETA M MCDONALD-MOORE

PORTAGE, MI
NPI1811731987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: MI  27701166199)
Enumeration Date2024-06-22
Last Update Date2024-06-22
Business Address
CHIQUETA M MCDONALD-MOORE
536 ROMENCE RD STE 106
PORTAGE, MI 49024-3437
Phone number: 616-366-1889
Mailing Address
CHIQUETA M MCDONALD-MOORE
536 ROMENCE RD STE 106
PORTAGE, MI 49024-3437
Phone number: 616-366-1889