Individual
JESSICA ROSE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4012 SE 99TH LN, BELLEVIEW, FL 34420-7815
(352) 857-1839
Mailing address
4012 SE 99TH LN, BELLEVIEW, FL 34420-7815
(352) 857-1839
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
6241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7825165632
—
FL
Enumeration date
01/08/2021
Last updated
01/08/2021
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