Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRA LUNA FUENTES MOORE
Active Sole ProprietorMIRA LUNA FUENTES MOORE is a Adult Development & Aging Psychologist healthcare provider located in WYANDOTTE, Michigan. NPI 1265183115 is currently active in the NPPES registry. Verify at CMS.
Adult Development & Aging Psychologist · WYANDOTTE, MI
Registration Details
- NPI Number
- 1265183115
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2022 (4.6137379365309 yrs)
- Last Updated
- Jan 12, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1874 4TH STWYANDOTTE, MI, 481923905Browse MI providers · Browse ZIP 48192
- Phone
- 7348289599
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
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.