Michelle Moore
Michelle Moore is a Student in an Organized Health Care Education/Training Program in LA Grange Park, Illinois. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
LA Grange Park, ILNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1114373495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2016 |
| Last updated in NPPES | May 5, 2016 |
Other providers in LA Grange Park
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Dr. Jona Tjeerdema, DMD
Student / training record LA Grange Park, IL