Individual
JACQUI WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(573) 392-1828
(573) 392-1864
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(573) 392-1828
(573) 392-1864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2008035501
MO
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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