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Individual
MRS. KIMBERLY J WOODS
Active
Individual
MRS. KIMBERLY J WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCA
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
G20033163000
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G20033163000
PROVIDER I D NUMBER
WV
05
—
G20033163000
—
WV
Enumeration date
11/17/2017
Last updated
06/16/2018
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