Individual
JENA WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
193 S 27TH AVE STE 400, BRIGHTON, CO 80601-2662
(303) 654-7933
Mailing address
125 GOFF AVE UNIT 5204, PAWTUCKET, RI 02860-9201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003382
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3382
COLORADO OPTOMETRIC LISENCE
CO
Enumeration date
10/24/2017
Last updated
04/20/2021
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