Individual
SUSAN WOLFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
JCT US HWY 160 & NAVAJO ROUTE 35, TEEC NOS POS, AZ 86514
(928) 656-5163
(928) 656-5164
Mailing address
HC 61 BOX 30, TEEC NOS POS, AZ 86514
(928) 656-5163
(928) 656-5164
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R66812
NM
Other
Enumeration date
11/14/2014
Last updated
11/17/2014
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