Individual
JUSTIN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1513 FREMONT BLVD STE E1, SEASIDE, CA 93955-4319
(831) 899-1910
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
54536
CA
363AM0700X
Medical Physician Assistant
MA058124
PA
Other
Enumeration date
03/22/2016
Last updated
06/06/2023
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