Individual
DANIELLE SIAN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 W DARES BEACH RD, PRINCE FREDERICK, MD 20678-3108
(410) 414-7404
Mailing address
80 W DARES BEACH RD, PRINCE FREDERICK, MD 20678-3108
(410) 414-7404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MD24610
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD24610
BOARD OF PHARMACY
MD
Enumeration date
04/26/2019
Last updated
06/11/2019
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