Organization
ALICIA WOLF GNP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA WOLF GNP-BC (OWNER)
(440) 666-6457
Entity
Organization
Contact information
Practice address
2407 BECKET CIR, STOW, OH 44224-7027
(440) 666-6457
Mailing address
2407 BECKET CIR, STOW, OH 44224-7027
(440) 666-6457
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
COA08023-NP
OH
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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