Individual
ASHLEIGH MICHELLE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 QUAIL RIDGE RD, DURANT, OK 74701-4836
(903) 647-1987
Mailing address
121 QUAIL RIDGE RD, DURANT, OK 74701-4836
(903) 647-1987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
947158
TX
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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