Individual
JENNA LYNN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1070 25TH ST, CLAYTON, WI 54004-3109
(715) 441-6306
Mailing address
1070 25TH ST, CLAYTON, WI 54004-3109
(715) 441-6306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
196666-30
WI
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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