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Individual

JANICE MYRA WOLFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT, LMT

Contact information

Practice address
1372 OLD BRIDGE RD, SUITE 102, WOODBRIDGE, VA 22192-2708
(571) 723-8311
Mailing address
1372 OLD BRIDGE RD # 102, WOODBRIDGE, VA 22192-2708
(571) 723-8311

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0019009196
VA

Other

Enumeration date
03/26/2013
Last updated
03/11/2014
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