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Individual

MR. WOODROW T PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
10844 OTSEGO ST, NORTH HOLLYWOOD, CA 91601-3929
(818) 284-9251
Mailing address
10844 OTSEGO ST, NORTH HOLLYWOOD, CA 91601-3929
(818) 284-9251

Taxonomy

Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
4219
CA
173C00000X
Reflexologist
Primary
4219
CA

Other

Enumeration date
11/01/2010
Last updated
11/01/2010
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