Individual
ETAN WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1627 26TH ST, ORLANDO, FL 32805-5232
(407) 832-8346
Mailing address
1627 26TH ST, ORLANDO, FL 32805-5232
(407) 832-8346
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5147285
FL
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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