Miss Jacquelene Farrah Moghaddam, MED - Ann Arbor, MI

Miss Jacquelene Farrah Moghaddam, MED

Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan

NPI 1063663045

Jacquelene Farrah Moghaddam is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Jacquelene Farrah Moghaddam practices in Ann Arbor, MI and has the professional credentials of MED. The NPI Number for Jacquelene Farrah Moghaddam is 1063663045 and holds a License No. (Michigan).

The current practice location address for Jacquelene Farrah Moghaddam is 815 Lawrence St, Ann Arbor, MI and can be reached out via phone at 714-872-1947.

Location: 815 Lawrence St, Ann Arbor, MI, 48104-8812

NPI Number

1063663045

Provider Name

Jacquelene Farrah Moghaddam

Credential

MED

Provider Entity Type

Individual

Gender

Female

Address

815 Lawrence St, Ann Arbor, MI, 48104-8812

Phone Number

714-872-1947

Fax Number

Provider Enumeration Date

10/08/2008

Last Update Date

03/09/2024

Address

815 Lawrence St

City

Ann Arbor

State

Michigan

Zip

48104-8812

Phone Number

714-872-1947

Fax Number

Address

815 Lawrence St

City

Ann Arbor

State

Michigan

Zip

48104-8812

Phone Number

714-872-1947

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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