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Individual

DELISSIA MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1472 W FAIRVIEW DR, BATON ROUGE, LA 70816-1417
(225) 907-6058
Mailing address
1472 W FAIRVIEW DR, BATON ROUGE, LA 70816-1417
(225) 907-6058

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN154807
LA
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN154807
LA

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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