Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor |
NPI | 1003260001 |
---|---|
Provider Name | Jazzel Termaime Woods |
First Address | San Francisco, CA 94102-5144 |
Second Address | San Francisco, CA 94102-5144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2016 |
Last Update Date | 17/03/2018 |