Individual
VALERIE WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2251 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6089
(928) 758-3916
Mailing address
2251 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6089
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP035278
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
844276
AHCCCS
AZ
Enumeration date
07/25/2007
Last updated
11/20/2009
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