Individual
JACQUELYN WOLF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
1084 N COLE RD, BOISE, ID 83704-8642
(208) 377-0019
(208) 377-0313
Mailing address
9532 W KATE DR, BOISE, ID 83714-4053
(208) 854-1163
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
H1017
ID
Other
Enumeration date
07/26/2005
Last updated
07/08/2007
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