Individual
BRANDY NICOLE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 TAMARACK RD, NEWARK, OH 43055-2305
(220) 564-4918
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4918
(220) 564-4918
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
359208
OH
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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