Individual
DECKER WOOD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 HUMBOLDT ST STE 104, SANTA ROSA, CA 95404-4214
(707) 565-7418
Mailing address
499 HUMBOLDT ST STE 104, SANTA ROSA, CA 95404-4214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
365767
CA
Other
Enumeration date
01/23/2007
Last updated
08/25/2014
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