Individual
JANELE ALLISON WOLBERT
Active
Individual
JANELE ALLISON WOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
RT005339
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT005339
PRECEPTOR
—
Enumeration date
09/18/2019
Last updated
09/18/2019
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