Individual
JAYCE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438-1303
(253) 982-5505
Mailing address
8606 82ND ST SW APT 205, LAKEWOOD, WA 98498-7294
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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