Individual
CAROLINE BERNARDINE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
3050 RUE DORLEANS, UNIT 494, SAN DIEGO, CA 92110-5927
(619) 222-8697
Mailing address
3050 RUE DORLEANS, UNIT 494, SAN DIEGO, CA 92110-5927
(619) 222-8697
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H00130-01
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
05/28/2007
Last updated
10/06/2008
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