Individual
BETHANY ROSE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCMA
Contact information
Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-2871
(309) 779-2167
Mailing address
4600 3RD ST, MOLINE, IL 61265-6106
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
03/17/2018
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