Provider Information for 1801541545
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JAYLYN WOODS
Sex: Female
NPI: 1801541545
Last Updated: 2022-02-21
Certification Date: 2022-02-21
Certification Date: 2022-02-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801541545 | ||||||||
| Enumeration Date | 2022-02-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 225 MATLAGE WAY SUGAR LAND, TX 77478-3273 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 21650 FM 1093 RD APT 3119 RICHMOND, TX 77407-3143 United States Phone: 225-588-3082 | Fax: | ||||||||
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