Individual
MICHELLE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36500 NY STATE RT 26, CARTHAGE, NY 13619-9506
(315) 493-5030
Mailing address
6602 SNELL RD, LOWVILLE, NY 13367-2100
(315) 408-7605
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
630923
NY
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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