Individual
MICHELLE WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
A101, 1484, 14313 NE 20TH AVE, VANCOUVER, WA 98686
(360) 558-3950
Mailing address
3214 NE 135TH AVE, VANCOUVER, WA 98682-8003
(360) 635-3578
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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