Individual
ADAL WOLDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 653-6741
Mailing address
3059 DACY LN, SAN ANGELO, TX 76904-4657
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1097201
TX
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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