Individual
TERRA DENICE EDWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Mailing address
8320 CHERBOURG WAY, STOCKTON, CA 95210-3216
(209) 922-2247
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
06/01/2025
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