Individual
JUDITH A WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BETTS ST NE, ALBUQUERQUE, NM 87112-5417
(505) 859-5896
Mailing address
1201 BETTS ST NE, ALBUQUERQUE, NM 87112-5417
(505) 859-5896
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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