Individual
LARESE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTH CARE PROVIDER
Contact information
Practice address
26505 COOLIDGE HWY, OAK PARK, MI 48237-1114
(248) 632-7411
Mailing address
20505 COOLIDGE, OAKPARK, MI 48237
(248) 632-7411
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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