Individual
MS. DANIELLE JEANNE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Mailing address
6 LONGMEADOW RD, SCARBOROUGH, ME 04074-8407
(207) 939-5284
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1465
ME
Other
Enumeration date
06/11/2014
Last updated
11/01/2016
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