| 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 | |
| Remove 1457790693 NPI Number | |
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.
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