Individual
GREGORY LARREAU WOODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
2401 S. 31TH ST., TEMPLE, TX 76508
(254) 724-2111
Mailing address
1019 ABBEY RDG, TEMPLE, TX 76504-4505
(254) 421-5131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
800240
TX
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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