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Individual

AMANDA WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 589-7030
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 589-7030

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60815704
WA

Other

Enumeration date
04/08/2015
Last updated
03/29/2022
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