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Individual
MELIA GRACE WELLS
Active
Individual
MELIA GRACE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
41538
CA
167G00000X
Licensed Psychiatric Technician
41538
CA
Other
Enumeration date
12/20/2022
Last updated
08/11/2023
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