Individual
DESDEMONA WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1403
(786) 269-8777
Mailing address
10192 SW 200TH TER, CUTLER BAY, FL 33189-1403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9270977
FL
Other
Enumeration date
07/19/2016
Last updated
10/28/2020
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