Individual
AMANDA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
901 SKYVIEW AVE, LITTLE CHUTE, WI 54140-2627
(920) 750-9050
Mailing address
901 SKYVIEW AVE, LITTLE CHUTE, WI 54140-2627
(920) 750-9050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315293
WI
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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