Individual
DR. KRISTY M WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3307 RENNER DR, FORTUNA, CA 95540-3119
(707) 725-6108
(707) 725-2651
Mailing address
3307 RENNER DR, FORTUNA, CA 95540-3119
(707) 725-6108
(707) 725-2651
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A77441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087580
—
CA
01
—
ZZZ00521Z
BLUE SHIELD
CA
Enumeration date
06/18/2006
Last updated
07/08/2007
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