Individual
DORSHEA WOODFORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
518 8TH AVE S, CLINTON, IA 52732-5610
(563) 219-2864
Mailing address
518 8TH AVE S, CLINTON, IA 52732-5610
(563) 219-2864
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P63977
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-4029920
HOMECARE
IA
Enumeration date
11/24/2020
Last updated
11/24/2020
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