Individual
MRS. SANDRA DEE WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21271 8 1/2 MILE RD, SOUTHFIELD, MI 48075-3876
(313) 477-4697
(248) 948-0999
Mailing address
21271 8 1/2 MILE RD, SOUTHFIELD, MI 48075-3876
(313) 477-4697
(248) 948-0999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084492
MI
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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