Individual
JANA CHRISTINE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15101 SEGURIDAD DR, RANCHO MURIETA, CA 95683-9146
(916) 813-5853
Mailing address
15101 SEGURIDAD DR, RANCHO MURIETA, CA 95683-9146
(916) 813-5853
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
04/15/2021
Last updated
04/15/2021
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