Individual
MRS. TAMMY LEA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 E 24TH ST, DES MOINES, IA 50317-2911
(515) 991-8486
Mailing address
1709 E 24TH ST, DES MOINES, IA 50317-2911
(515) 991-8486
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P50172
IA
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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