Moody, Doloris

Moody, Doloris is an individual health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Moody, Doloris can be contacted via phone (209) 468-8660.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1003039330
LBN Legal business name Moody, Doloris
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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