Individual
ANGELA MICHELLE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 RIGGS CIR, DAVENPORT, FL 33897-8545
(773) 592-5637
Mailing address
715 RIGGS CIR, DAVENPORT, FL 33897-8545
(773) 592-5637
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
G11000111514
FL
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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