Individual
AYANNA BRINEA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3709 MASONIC DR, ALEXANDRIA, LA 71301-3632
(318) 269-6422
Mailing address
15421 WEST ST APT A, FORT POLK, LA 71459-2943
(240) 640-3786
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
5352
LA
124Q00000X
Dental Hygienist
Primary
8398
MD
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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