Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Dora Wooten

Individual provider Contractor · NPI 1689326480

Madison Dora Wooten is a Contractor in San Luis Obispo, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2945 McMillan Ave Ste 240
San Luis Obispo, CA 93401-6771
Phone: (805) 439-4890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1689326480
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2022
Last updated in NPPESJanuary 22, 2022
Certification dateJanuary 22, 2022

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