Individual
JEANETTE WOHLFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1390 GEORGE DIETER DR STE 140, EL PASO, TX 79936-7430
(915) 320-1390
Mailing address
1390 GEORGE DIETER DR STE 140, EL PASO, TX 79936-7430
(915) 320-1390
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
L20579
NM
164X00000X
Licensed Vocational Nurse
Primary
340978
TX
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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