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De'Ann E Moses

Community Health Worker in Detroit, MI. Individual provider (NPI-1).

NPI number1801569769
StatusActive
Last updated in NPPESJul 27, 2021

Details

NPI
1801569769
Entity type
Individual (NPI-1)
Name
De'Ann E Moses
Sex
Female
Sole proprietor
No
Enumeration date
Jul 27, 2021
Certification date
Jul 27, 2021
Last updated
Jul 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

445 Ledyard Street
Detroit, MI 48201

Phone 313-962-9446 · Fax 313-962-6395

Mailing address

445 Ledyard Street
Detroit, MI 48201

Phone 313-962-9446 · Fax 313-962-6395

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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