Individual
MINDY MARIE WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9040 JACKSON AVE ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-0001
(253) 968-5988
(253) 968-3278
Mailing address
5140 STADIUM LN SE UNIT F204, OLYMPIA, WA 98501-5154
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
NURP7031
AK
164W00000X
Licensed Practical Nurse
Primary
PN5204676
FL
Other
Enumeration date
09/05/2017
Last updated
09/11/2017
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