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NPI Code Detail

MEDICARE: MS. JENNIFER WOLFE CD, MHT

MEDICARE:  MS. JENNIFER  WOLFE  CD, MHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1124359062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER WOLFE CD, MHT
Provider Business Mailing Address
First Line : 2615 GARFIELD ST
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-2321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2615 GARFIELD ST
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-2321
Country : US
Telephone Number : 650-867-1991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2010
Last Update Date : 01/15/2010

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Directions to “ MS. JENNIFER WOLFE CD, MHT” Practice Location

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