Individual
LATOYA TAWAINA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
660 MASON RIDGE CENTER DR, SAINT LOUIS, MO 63141-8509
(314) 273-6481
Mailing address
660 MASON RIDGE CENTER DR, SAINT LOUIS, MO 63141-8509
(314) 273-6481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2014036820
MO
363L00000X
Nurse Practitioner
209022374
IL
363LF0000X
Family Nurse Practitioner
Primary
2014036820
MO
363LF0000X
Family Nurse Practitioner
209022374
IL
Other
Enumeration date
12/08/2014
Last updated
04/03/2023
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