Healthcare Provider Details

I. General information

NPI: 1740129600
Provider Name (Legal Business Name): MS. MAHLORIY MOORER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 S SAGINAW ST
FLINT MI
48503-3705
US

IV. Provider business mailing address

829 SPENCER ST
FLINT MI
48505-4534
US

V. Phone/Fax

Practice location:
  • Phone: 810-931-8594
  • Fax:
Mailing address:
  • Phone: 810-429-0990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: