Individual
MS. KRISTIINA E WUOLLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BA MICRO
Contact information
Practice address
123 N 13TH ST, PHOENIX, AZ 85034-1111
(602) 257-3900
Mailing address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
(602) 257-3900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN161913
AZ
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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