Individual
MS. SAMANTHA MICHELLE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNA
Contact information
Practice address
5475 CANYON CREST DR APT 28, RIVERSIDE, CA 92507-6435
(951) 204-1908
Mailing address
5475 CANYON CREST DR APT 28, RIVERSIDE, CA 92507-6435
(951) 204-1908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
766099
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000616
CA
Other
Enumeration date
10/06/2016
Last updated
12/06/2021
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