Individual
JESSICA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8346 TRAFORD LN STE B106, SPRINGFIELD, VA 22152-1665
(703) 563-2128
Mailing address
1908 RESTON METRO PLZ APT 1909, RESTON, VA 20190-5944
(512) 230-3929
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121001087
VA
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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