Most Relevant Information
Provider Data
| NPI Number: | 1003486606 |
| Provider Name: | CHARMANAN TRINETTE WOODS |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2021 |
| Last Updated: | 06/28/2021 |
Provider Practice Location
10 MOUNTAIN PARK DR
FAIRMONT
WV
265548992
Practice Location Phone/Fax
| Phone: | 3048163687 |
| Fax: | 3048163737 |
Provider Mailing Location
10 MOUNTAIN PARK DR
FAIRMONT
WV
265548992
Provider Mailing Phone/Fax
| Phone: | 3048163687 |
| Fax: | 3048163737 |