Tallie September Woodson

NPI #1093346371 in La Center, Washington

Provider Information

NPI Number: 1093346371
Entity Type: Individual
Name: Tallie September Woodson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 27, 2020
Last Updated: Jan 27, 2020

Practice Location

Address: 601 E 18TH ST
City: La Center
State: Washington
ZIP Code: 98629-5595
Phone: (818) 438-3424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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