Individual
MRS. MARIE ELLA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 GASBURG RD, GASBURG, VA 23857-2207
(434) 577-9072
Mailing address
4343 GASBURG ROAD, GASBURG, VA 23857-2207
(434) 577-9072
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
VA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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