Individual
VICKY KAY WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN MSN
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 997-7160
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 997-7160
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
041458503
IL
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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