Individual
CAROL WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1135 S SUNSET AVE STE 200, WEST COVINA, CA 91790
(626) 918-6655
(626) 918-6633
Mailing address
PO BOX 4039, ORANGE, CA 92863-4039
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51926
CA
Other
Enumeration date
10/08/2014
Last updated
08/20/2018
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