Individual
MS. TENA LEE WOOD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
302 S. CRITES GRANBURY TX. 76048, 302 S. CRITES GRANBURY TX. 76048, GRANBURY, TX 76048
(817) 559-5308
Mailing address
302 S. CRITES GRANBURY TX. 76048, 302 S. CRITES GRANBURY TX. 76048, GRANBURY, TX 76048
(817) 559-5308
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L060797
AR
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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