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Individual

MRS. JENNIFER WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1801 TULLY RD STE A2, MODESTO, CA 95350-2937
(209) 589-1470
Mailing address
1801 TULLY RD STE A2, MODESTO, CA 95350-2937
(209) 589-1470

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
504700032
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
504700032
IN HOME CARE
CA
Enumeration date
01/25/2023
Last updated
01/25/2023
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