Individual
TORI WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
829 FAIRMONT RD STE 14, WESTOVER, WV 26501-0088
(304) 305-1506
Mailing address
829 FAIRMONT RD STE 104, WESTOVER, WV 26501-3892
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
36621
WV
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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