Individual
DESIREE WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 W 9TH ST, PUEBLO, CO 81003-4103
(719) 583-4365
Mailing address
101 W 9TH ST, PUEBLO, CO 81003-4103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1634320
CO
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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