Individual
MISTY WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MONTGOMERY LN, LINCOLN, AL 35096-6171
(256) 385-9667
Mailing address
250 MONTGOMERY LN, LINCOLN, AL 35096-6171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-171223
AL
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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