Individual
MRS. TERRY WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1320 178TH AVE E, LAKE TAPPS, WA 98391-6411
(253) 862-6600
(253) 862-3176
Mailing address
1320 178TH AVE E, LAKE TAPPS, WA 98391-6411
(253) 862-6600
(253) 862-3176
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00076011
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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