Individual
HOLLY WOFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 NEWMAN RD, JOPLIN, MO 64801-1512
(866) 818-6778
Mailing address
2722 NEOSHO HEIGHTS CIR, NEOSHO, MO 64850-1111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2017025979
MO
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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