Individual
MR. TERRY WAYNE WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
34740 BOROS BLVD., BEAUMONT, CA 92223
(323) 371-4514
(951) 755-7277
Mailing address
34740 BOROS BLVD, BEAUMONT, CA 92223-7467
(323) 371-4514
(951) 755-7277
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
862
CA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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