Willie Lee Woods

NPI 1457790693 - Counselor - 101YA0400X

NPI Details
NPI 1457790693
Gender Male
Enumeration Date 06/20/2013
Last Updated 06/20/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
72 W 11TH ST
SUITE A
TRACY CA, 95376-3906, US
Phone (209) 814-7451
Fax
Business Location
72 W 11TH ST
SUITE A
TRACY CA, 95376-3906, US
Phone (209) 814-7451
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Willie Lee Woods NPI is 1457790693, taxonomy code is 101YA0400X Willie Lee Woods physically located at 72 W 11th St, Tracy CA, 95376-3906. NPI Number Willie Lee Woods has the Individual type.

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1457790693 NPI number is provided on an as is basis without warranty of any kind. 1457790693 is maintained by the National Plan & Provider Enumeration System. The contents of Willie Lee Woods are for informational purposes only.