Individual
STACEY ANNE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E VINE ST, MEADE, KS 67864-6572
(620) 417-4131
Mailing address
PO BOX 580, MEADE, KS 67864-0580
(620) 417-4131
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2275
KS
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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