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Individual

MRS. JOAN COLLETTE WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
20025 MORSE AVE SUITE 2E, SACRAMENTO, CA 95825
(916) 973-6109
Mailing address
6504 TRAILRIDE WAY CITRUS HEIGHTS CA 95621, CITRUS HEIGHTS, CA 95621
(916) 973-6109

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA14765
CA

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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