Individual
MS. VICKIE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
4916 NATIONAL RD, CLAYTON, OH 45315-9714
(937) 832-6060
(937) 832-6001
Mailing address
1495 W EVANSTON RD, TIPP CITY, OH 45371-2019
(937) 667-0023
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN210720
OH
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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