Individual
CHARLENE ALICIA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
512 KAY AVE SE, BEMIDJI, MN 56601-3637
(218) 760-9476
Mailing address
6247 LOWER CASS FRONTAGE RD, CASS LAKE, MN 56633-3059
(218) 339-5820
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R-203504-4
MN
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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