Individual
ALEXANDRA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(801) 680-9182
Mailing address
5050 E GRANITE CLIFFS RD, SANDY, UT 84092-6221
(801) 680-2964
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL0009554
CO
Other
Enumeration date
05/12/2018
Last updated
07/06/2023
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