Individual
MARY ANN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 S 12TH ST, MOUNT VERNON, WA 98274-4036
(360) 336-2178
Mailing address
111 S 13TH ST, MOUNT VERNON, WA 98274-4105
(360) 336-2178
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
LD00002168
WA
237600000X
Audiologist-Hearing Aid Fitter
Primary
LD00002168
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134030
L&I NUMBER
WA
01
—
99226
HEARPO
WA
01
—
LD00002168
STATE LICENSE
WA
Enumeration date
03/19/2007
Last updated
12/22/2009
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