Individual
MRS. TONYA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
312 N MIAMI AVE, FRESNO, CA 93727-3519
(559) 974-0244
Mailing address
312 N MIAMI AVE, FRESNO, CA 93727-3519
(559) 974-0244
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN173059
CA
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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