Individual
MS. JACKIE SUE WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
15640 N 7TH ST, SUITE 6, PHOENIX, AZ 85022-3512
(602) 439-3800
(602) 439-3802
Mailing address
15640 N 7TH ST, SUITE 6, PHOENIX, AZ 85022-3512
(602) 439-3800
(602) 439-3802
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
6346
AZ
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
Primary
6346
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6346
AZ STATE BOARD OF RESPIRATORY CARE EXAMINERS
AZ
Enumeration date
05/28/2008
Last updated
05/28/2008
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