Most Relevant Information
Provider Data
NPI Number: | 1003277856 |
Provider Name: | SAMUEL WOOD |
Entity Type: | Individual |
Taxonomy Code: | 163WP0809X |
Specialty: | Registered Nurse |
License Number: | 95071479 |
Most Important Dates
Enumeration Date: | 03/08/2016 |
Last Updated: | 03/08/2016 |
Provider Practice Location
803 GROVE AVE
IMPERIAL BEACH
CA
91932
Practice Location Phone/Fax
Phone: | 5174149304 |
Fax: |
Provider Mailing Location
803 GROVE AVE
IMPERIAL BEACH
CA
91932
Provider Mailing Phone/Fax
Phone: | 5174149304 |
Fax: |