Individual
TEJON WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1809 W REDLANDS BLVD, REDLANDS, CA 92373-8054
(909) 335-3026
Mailing address
4262 LYND AVE, ARCADIA, CA 91006-5834
(916) 747-5155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21303
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21303
CA
Other
Enumeration date
11/04/2011
Last updated
08/17/2023
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