Individual
LUCRETIA JONSHIKA WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4943 W QUINCY ST, CHICAGO, IL 60644-4523
(773) 584-5479
Mailing address
4943 W QUINCY ST, CHICAGO, IL 60644-4523
(773) 584-5479
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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