Individual
SUSAN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 971-2100
Mailing address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
137
MA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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