Individual
MRS. ELISSA MARIE DEWOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
3701 BROADWAY, SUITE 300, OAKLAND, CA 94611-5613
(510) 752-4089
(510) 752-1835
Mailing address
3701 BROADWAY, SUITE 300, OAKLAND, CA 94611-5613
(510) 752-4089
(510) 752-1835
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
3549
CA
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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