Individual
AMANDA WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
16704 VISTA SMT, RAMONA, CA 92065-6848
(858) 204-2272
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23837
CA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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