Individual
PRINCE TERRENCE C WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15620 N 25TH AVE APT K209, PHOENIX, AZ 85023-6514
(708) 548-8754
Mailing address
15620 N 25TH AVE APT K209, PHOENIX, AZ 85023-6514
(708) 548-8754
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AZ
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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