Individual
CLARA M WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24255 BERNARD DR, P.O.4745, CRESTLINE, CA 92325-9232
(661) 916-6196
Mailing address
24255 BERNARD DR, CRESTLINE, CA 92325
(661) 916-6196
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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