Individual
DIANE KAY WOODYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
217 CANARY LN, EDINBURG, PA 16116-6415
(724) 071-2795
Mailing address
217 CANARY LN, EDINBURG, PA 16116-6415
(724) 071-2795
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN347998L
PA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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