Individual
ICILDA MOODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 UPSHUR ST NW, WASHINGTON, DC 20011-5837
(202) 723-0304
Mailing address
5284 MARLBORO PIKE APT 201, CAPITOL HEIGHTS, MD 20743-5447
(240) 743-0589
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200001348
DC
Other
Enumeration date
09/21/2021
Last updated
10/11/2023
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