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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS JACQUELENE FARRAH MOGHADDAM, M.ED

Active Sole Proprietor

MISS JACQUELENE FARRAH MOGHADDAM, M.ED is a Student (Health Education/Training) healthcare provider located in ANN ARBOR, Michigan. NPI 1063663045 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · ANN ARBOR, MI

Registration Details

NPI Number
1063663045
Provider Type
Individual
Gender
Female
NPI Issued
Oct 8, 2008 (17.811511402034 yrs)
Last Updated
Oct 8, 2008
Sole Proprietor
Yes

Practice Information

Address
815 LAWRENCE ST
APARTMENT 3
ANN ARBOR, MI, 481048812
Browse MI providers · Browse ZIP 48104
Phone
7148721947
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in ANN ARBOR, MI

Name Credential NPI
MR. LEWIS P KRAIN MD 1497858476
DR. ROBERT MAURICE COATES JR. M.D., M.P.H. 1255466454
DR. MEGAN ANDERSON MD 1568586774
DR. LINDSAY MARGOT RYERSON MD 1013031145
DR. KEITH MARCUS MD 1093831604
DR. JEFFREY DAY M.D. 1588781116
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.