Moody, Traci
Moody, Traci is an individual health care provider with primary practice located at 1100 Marshall Way , Placerville CA 95667-6533. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Moody, Traci can be contacted via phone (530) 626-2793.Contact Information
Primary practice address
1100 Marshall Way
Placerville CA 95667-6533
Phone: (530) 626-2793
Fax: (530) 622-1351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 498790 | California |
Profile Details
| NPI number | 1235825753 |
|---|---|
| LBN Legal business name | Moody, Traci |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2023 |
| Last updated | Apr 17th, 2023 - about 2 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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