Individual
MRS. JACQUELYN LOU WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-3823
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-3823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E38712
CT
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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