Individual
MS. RHONDA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1104B S MAIN ST, LEXINGTON, NC 27292-3134
(336) 300-8826
Mailing address
1104B S MAIN ST, LEXINGTON, NC 27292-3134
(336) 300-8826
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
65108
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558329243
—
NC
Enumeration date
06/01/2018
Last updated
06/01/2018
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