Individual
KIONA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3136 GILBERT CIRCLE, CANTON, OH 44705-4264
(330) 312-9837
Mailing address
3136 GILBERT CIR NE, CANTON, OH 44705-4264
(330) 312-9837
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
400148940802
OH
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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