Provider Demographics
NPI:1174133599
Name:WOODS, SYLVIE ANNE
Entity type:Individual
Prefix:
First Name:SYLVIE
Middle Name:ANNE
Last Name:WOODS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 N COX ST
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86401-4300
Mailing Address - Country:US
Mailing Address - Phone:928-303-8872
Mailing Address - Fax:
Practice Address - Street 1:2770 N COX ST
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86401-4300
Practice Address - Country:US
Practice Address - Phone:928-303-8872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-01
Last Update Date:2020-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program