Individual
MARIAN COKER WOLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4898 WESTLAKE PKWY, SACRAMENTO, CA 95835-2092
(609) 731-1615
Mailing address
4898 WESTLAKE PKWY, SACRAMENTO, CA 95835-2092
(609) 731-1615
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN95293313
CA
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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