MISS Jacquelene Farrah Moghaddam, M.ED is a student in an organized health care education training program in Ann Arbor, MI. The provider is 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. MISS Jacquelene Farrah Moghaddam, M.ED NPI is 1063663045. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
815 LAWRENCE ST
APARTMENT 3
ANN ARBOR, MI
ZIP 48104-812
Phone: (714) 872-1947
The enumeration date for this NPI number is 10/8/2008 and was last updated on 10/8/2008.