Individual
MS. TASHA RACHELLE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
119 MICHAEL JOHN DR, MAURICE, LA 70555-3387
(318) 332-6244
Mailing address
119 MICHAEL JOHN DR, MAURICE, LA 70555-3387
(318) 332-6244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237084
LA
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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