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Dianne Moody
NPI 1215753264 · on the registry since 2024 · sole proprietor
Practice
- Address
- 412 Highway 90 Ste 11
Bay St Louis, MS 39520 - Phone
- (228) 304-2880
- Organisation at this address
- Ethel W Hetrick Phd Pllc
Merleaux Aesthetic Solutions CoInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- In Home Supportive Care Agency
253Z00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi