Individual
JACOB WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 E US HIGHWAY 66, EL RENO, OK 73036-9125
(405) 424-7711
Mailing address
8400 ALFADALE ST, UNION CITY, OK 73090-6651
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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