Archiebald Wollo

NPI 1740699412 - Counselor - 101YM0800X

NPI Details
NPI 1740699412
Gender Male
Enumeration Date 08/07/2014
Last Updated 08/07/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
KENTFIELD CA, 94904-1418, US
Phone (415) 256-9995
Fax (415) 256-9998
Business Location
881 69TH AVE APT 209
OAKLAND CA, 94621-3326, US
Phone (415) 256-9995
Fax (415) 256-9998
Taxonomy Code 101YM0800X
License State
License Number
Remove 1740699412 NPI Number

According to our database, Mr. Archiebald Wollo NPI is 1740699412, taxonomy code is 101YM0800X Archiebald Wollo physically located at 1109 Sir Francis Drake Blvd, Kentfield CA, 94904-1418. NPI Number Archiebald Wollo has the Individual type.

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1740699412 NPI number is provided on an as is basis without warranty of any kind. 1740699412 is maintained by the National Plan & Provider Enumeration System. The contents of Archiebald Wollo are for informational purposes only.