Individual
ARIES NAJAHMA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6403 CALEY AVE NW, ALBUQUERQUE, NM 87120-3202
(415) 342-6697
Mailing address
6403 CALEY AVE NW, ALBUQUERQUE, NM 87120-3202
(415) 342-6697
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
247200000X
NM
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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