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Individual

TAMIRA DEE WOODWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1 N WILLARD ST, COTTONWOOD, AZ 86326-3651
(928) 634-2288
Mailing address
1725 S SALT MINE RD, CAMP VERDE, AZ 86322-7007

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN123581
AZ

Other

Enumeration date
11/22/2010
Last updated
11/22/2010
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