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NPI Code Detail

MEDICARE: SIMONA WOOD CNA

MEDICARE: SIMONA WOOD CNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1457807125
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMONA WOOD CNA
Provider Business Mailing Address
First Line : 11000 LAKE CITY WAY NE STE 200
Second Line :
City : SEATTLE
State : WA
Zip : 98125-6748
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 204 NE 94TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2752
Country : US
Telephone Number : 206-461-4580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 08/31/2016

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Directions to “ SIMONA WOOD CNA” Practice Location

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