Individual
LATOYA LYNN WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13184 POPE WATER VALLEY RD, WATER VALLEY, MS 38965-3983
(662) 578-1070
Mailing address
13184 POPE WATER VALLEY RD, WATER VALLEY, MS 38965-3983
(662) 578-1070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
894726
MS
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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