FONDA MOODY

OAKLAND, TN
NPI1588020135
Former NameFONDA MOODY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Additional Taxonomies171000000X Military Health Care Provider
172A00000X Driver
347C00000X Private Vehicle
Enumeration Date2016-01-13
Last Update Date2016-01-14
Business Address
-- FONDA MOODY FON TRANS
50 HARBOR OAKS CV
OAKLAND, TN 38060-6069
Phone number: 901-355-4258
Mailing Address
-- FONDA MOODY FON TRANS
50 HARBOR OAKS CV
OAKLAND, TN 38060-6069
Phone number: 901-355-4258