Individual
MRS. MICHELLE SHEILA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
1381 N SHORE DIAMOND LAKE RD, NEWPORT, WA 99156-8366
(509) 671-2541
Mailing address
1381 N SHORE DIAMOND LAKE RD, NEWPORT, WA 99156-8366
(509) 671-2541
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
MA00012560
WA
Other
Enumeration date
06/18/2007
Last updated
03/24/2016
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