Individual
RYAN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
841 MANOR AVE N, CLAYMONT, DE 19703-3140
(856) 254-9944
Mailing address
841 MANOR AVE N, CLAYMONT, DE 19703-3140
(856) 254-9944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
03/04/2019
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