Individual
TIFFANI WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1120 DOREEN AVE APT 1, WATERLOO, IA 50701-3353
(515) 408-3027
Mailing address
1120 DOREEN AVE APT 1, WATERLOO, IA 50701-3353
(515) 408-3027
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2000025845
IA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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