Individual
MS. KIARRA WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W 102ND ST APT 2, LOS ANGELES, CA 90003-4565
(213) 254-7413
Mailing address
310 W 102ND ST APT 2, LOS ANGELES, CA 90003-4565
(213) 254-7413
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F2844863
—
CA
Enumeration date
08/28/2019
Last updated
08/28/2019
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