MRS. Thai Thao Woodcock, CSFA
NPI #1194466813 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1194466813
- Entity Type
- Individual
- Name
- MRS. Thai Thao Woodcock, CSFA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- CSFA
- Enumeration Date
- Apr 5, 2022
- Last Updated
- Apr 5, 2022
Practice Location
- Address
- 15085 RANIER AVE
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-4650
- Phone
- (228) 313-2286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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