Tad James Woody

NPI 1033311469 - Registered Nurse - 163W00000X

NPI Details
NPI 1033311469
Gender Male
Enumeration Date 06/05/2007
Last Updated 12/14/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1225 M ST
CORRECTIONAL HEALTH, 2ND FLOOR
FRESNO CA, 93721-1805, US
Phone (559) 442-2404
Fax (559) 442-5277
Business Location
PO BOX 11867
CORRECTIONAL HEALTH SERVICES
FRESNO CA, 93775-1867, US
Phone (559) 600-3229
Fax (559) 445-2772
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 484816
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According to our database, Mr. Tad James Woody NPI is 1033311469, taxonomy code is 163W00000X and license number is 484816, license state is located at California. Tad James Woody physically located at 1225 M St, Fresno CA, 93721-1805. NPI Number Tad James Woody has the Individual type.

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1033311469 NPI number is provided on an as is basis without warranty of any kind. 1033311469 is maintained by the National Plan & Provider Enumeration System. The contents of Tad James Woody are for informational purposes only.