Individual
DAVID WOLLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 MARBLE AVE NE BLDG 3, ALBUQUERQUE, NM 87106-2058
(505) 272-1221
(505) 272-1254
Mailing address
2600 MARBLE AVE NE BLDG 3, ALBUQUERQUE, NM 87106-2058
(505) 272-1221
(505) 272-1254
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
08/24/2009
Last updated
03/07/2014
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