Individual
ANDREA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HLP
Contact information
Practice address
3919 LAFAYETTE RD, INDIANAPOLIS, IN 46254-2531
(317) 384-9181
Mailing address
3044 N SHERMAN DR, INDIANAPOLIS, IN 46218-2100
(317) 384-9181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
IN
Enumeration date
05/06/2020
Last updated
05/06/2020
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