Individual
MR. JONATHAN LOUIS WOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
3328 SHELLY HILL RD, MOUNT VERNON, WA 98274-6131
(206) 335-0552
Mailing address
3328 SHELLY HILL RD, MOUNT VERNON, WA 98274-6131
(206) 335-0552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
56617
ID
363LF0000X
Family Nurse Practitioner
Primary
AP30006554
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046441
—
WA
Enumeration date
07/25/2006
Last updated
03/17/2018
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