Provider Demographics
NPI:1376943266
Name:WOELFLE, JUDEAN (CFLE)
Entity Type:Individual
Prefix:MRS
First Name:JUDEAN
Middle Name:
Last Name:WOELFLE
Suffix:
Gender:F
Credentials:CFLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6594 162ND ST
Mailing Address - Street 2:APT 2F
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-2662
Mailing Address - Country:US
Mailing Address - Phone:646-283-2647
Mailing Address - Fax:
Practice Address - Street 1:6594 162ND ST
Practice Address - Street 2:2F
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-2662
Practice Address - Country:US
Practice Address - Phone:646-283-2647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist