Individual
MONIQUE D MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT, CMA,DSP
Contact information
Practice address
7780 N 57TH LN, GLENDALE, AZ 85301-7872
(602) 456-6138
Mailing address
7428 W CAVALIER DR, GLENDALE, AZ 85303-0021
(602) 793-9251
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
INST3437836425
MI
261QM1300X
Multi-Specialty Clinic/Center
—
IN
3747A0650X
Attendant Care Provider
2025B09366
AZ
3747P1801X
Personal Care Attendant
2025B09366
AZ
Other
Enumeration date
03/17/2026
Last updated
05/02/2026
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