Individual
IAN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2212 E WELLESLEY AVE, SPOKANE, WA 99207-4272
(509) 202-3673
Mailing address
2212 E WELLESLEY AVE, SPOKANE, WA 99207-4272
(509) 202-3673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60621853
WA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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