Individual
KIMBERLY MICHELLE WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1205 E NORTH ST, MANTECA, CA 95336-4932
(209) 239-8381
(209) 239-8334
Mailing address
611 S REGENT ST, STOCKTON, CA 95204-4325
(209) 479-1857
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
59716
CA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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