Individual
DALLENA ANN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
4951 NETARTS HWY W, PMB 2664, TILLAMOOK, OR 97141-9467
(661) 742-3635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
669355
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
669355
CALIFORNIA BOARD OF NURS.
CA
Enumeration date
08/21/2007
Last updated
08/21/2007
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