Domonique Moody, MLS, PBT

NPI 1821787367 · on the registry since 2023 · sole proprietor

Practice

Address: 757 Alpha Dr Ste C
Highland Heights, OH 44143
Phone: (347) 867-1188
Organisation at this address: Mp Lab Solutions Llc
Mp Medical Supply, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 207ZP0105X
207ZP0105X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-05-02

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 Ohio