Individual
AMANDA MARIE WOLSEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 RUE DE LA VIE ST STE 405, BATON ROUGE, LA 70817-5128
(225) 928-2555
Mailing address
500 RUE DE LA VIE ST STE 405, BATON ROUGE, LA 70817-5128
(225) 928-2555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
328045
LA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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