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Individual

CELIA CAROLINE WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PMHNP-BC

Contact information

Practice address
4094 4TH AVE, SAN DIEGO, CA 92103-2143
(619) 515-2545
Mailing address
PO BOX 16776, SAN DIEGO, CA 92176-6776

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95048025
CA
363L00000X
Nurse Practitioner
Primary
95001899
CA

Other

Enumeration date
10/29/2014
Last updated
03/17/2018
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