Individual
JAIME WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5620 W WILDWOOD RANCH PKWY, JOPLIN, MO 64804-4520
(636) 224-1230
Mailing address
5620 W WILDWOOD RANCH PKWY, JOPLIN, MO 64804-4520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2014042017
MO
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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