Individual
MS. TALIA R. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1090 GOAT SPRINGS ROAD, TAOS, NM 87571-1946
(575) 758-4224
(575) 751-5210
Mailing address
P.O. BOX 1946, 1090 GOAT SPRINGS ROAD, TAOS, NM 87571-1946
(575) 758-4224
(575) 751-5210
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0623
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84600381
—
NM
01
—
8HR149
MEDICARE PTAN
NM
01
—
HSZ189
MEDICARE PART B
NM
05
—
K3543
—
NM
Enumeration date
09/30/2009
Last updated
04/02/2014
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