Individual
JANET L WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4247 WILLOW GLEN LN, APT. D, BEECH GROVE, IN 46107-2767
(317) 615-9935
Mailing address
4247 WILLOW GLEN LN, APT. D, BEECH GROVE, IN 46107-2767
(317) 615-9935
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
8912-91-2058
IN
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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