Tonya Moody LVN

NPI 1063749885 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1063749885
Gender Female
Enumeration Date 11/16/2009
Last Updated 11/16/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
312 N MIAMI AVE
FRESNO CA, 93727-3519, US
Phone (559) 974-0244
Fax
Business Location
312 N MIAMI AVE
FRESNO CA, 93727-3519, US
Phone (559) 974-0244
Fax
Toxanomy
Taxonomy Code 164W00000X
License State California
License Number VN173059
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According to our database, Mrs. Tonya Moody LVN NPI is 1063749885, taxonomy code is 164W00000X and license number is VN173059, license state is located at California. Tonya Moody LVN physically located at 312 N Miami Ave, Fresno CA, 93727-3519. NPI Number Tonya Moody LVN has the Individual type.

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1063749885 NPI number is provided on an as is basis without warranty of any kind. 1063749885 is maintained by the National Plan & Provider Enumeration System. The contents of Tonya Moody LVN are for informational purposes only.