Individual
CHUCK W WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1328 2ND ST, SANTA MONICA, CA 90401-1122
(310) 394-6889
(310) 394-6883
Mailing address
1504 S FAIRFAX AVE APT 3, LOS ANGELES, CA 90019-4913
(323) 937-5424
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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