Individual
DANIELLE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 CASTLE GAP ST, CRANE, TX 79731-4408
(575) 914-1092
Mailing address
1806 CASTLE GAP ST, CRANE, TX 79731-4408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
933081
TX
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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