KOMISHA MOODY

SHREVEPORT, LA
NPI1821562497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-01-17
Last Update Date2019-01-17
Business Address
KOMISHA MOODY
4718 HEARNE AVE
SHREVEPORT, LA 71108-2703
Phone number: 318-828-1521
Mailing Address
KOMISHA MOODY
4718 HEARNE AVE
SHREVEPORT, LA 71108-2703
Phone number: 318-828-1521