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1356172886
TASHA RACHELLE MOODY
MAURICE, LA
NPI
1356172886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 237084)
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
Ms. TASHA RACHELLE MOODY FNP-C
119 MICHAEL JOHN DR
MAURICE, LA 70555-3387
Phone number: 318-332-6244
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Mailing Address
Ms. TASHA RACHELLE MOODY FNP-C
119 MICHAEL JOHN DR
MAURICE, LA 70555-3387
Phone number: 318-332-6244
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