Individual
MRS. YVONNE LEE WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 VERDE DR APT 11204, CLUTE, TX 77531-3139
(979) 665-3966
Mailing address
55 COTTON CT, LAKE JACKSON, TX 77566-5114
(979) 267-0003
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
878609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
708384824
—
TX
Enumeration date
08/12/2018
Last updated
08/12/2018
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