Individual
ALYSSA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
325 CLARK ST, AUBURN, NY 13021-2240
(315) 730-8315
Mailing address
325 CLARK ST, AUBURN, NY 13021-2240
(315) 730-8315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305261-01
NY
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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