Individual
MS. MARY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17171 BOTHELL WAY NE, LAKE FOREST PARK, WA 98155-4204
(206) 363-6364
Mailing address
PO BOX 792750, SAN ANTONIO, TX 78279-2750
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00065168
WA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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