HATTIE KELLY-MOODY

BUFFALO, NY
NPI1528213568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NY  00359841)
Enumeration Date2008-11-18
Last Update Date2008-11-18
Business Address
-- HATTIE KELLY-MOODY RN
460 MAIN ST
BUFFALO, NY 14202-3203
Phone number: 716-855-0163
Mailing Address
-- HATTIE KELLY-MOODY RN
460 MAIN ST
BUFFALO, NY 14202-3203
Phone number: 716-855-0163
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