Ebonique Latrice Woodard, NP

NPI #1437719903 in Clawson, Michigan

Provider Information

NPI Number
1437719903
Entity Type
Individual
Name
Ebonique Latrice Woodard, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Jun 17, 2019
Last Updated
Jun 17, 2019

Practice Location

Address
1402 W 14 MILE RD
ZIP Code
48017-1499
Phone
(866) 389-2727

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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