Individual
KRISTY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 W 16TH ST STE P, GREELEY, CO 80634-6871
(970) 405-8897
Mailing address
3400 W 16TH ST STE P, GREELEY, CO 80634-6871
(970) 405-8897
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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