Provider Demographics
NPI:1407309834
Name:MOSLIMANI, ALISHA MARIE (RRT)
Entity Type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:MARIE
Last Name:MOSLIMANI
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4637 HELEN ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-4116
Mailing Address - Country:US
Mailing Address - Phone:313-662-8731
Mailing Address - Fax:
Practice Address - Street 1:4637 HELEN ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-4116
Practice Address - Country:US
Practice Address - Phone:313-662-8731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIM245048585062247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other