Individual
MISS CHASSIDY NICOLE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2200 BUSINESS CENTER DR APT 1301, PEARLAND, TX 77584-1370
(214) 971-6278
Mailing address
2200 BUSINESS CENTER DR APT 1301, PEARLAND, TX 77584-1370
(214) 971-6278
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
306152
LA
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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