Individual
GERMAIN LYNEA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 ADLER DR, CLOVIS, CA 93612-1504
(559) 708-2871
Mailing address
1051 ADLER DR, CLOVIS, CA 93612-1504
(559) 708-2871
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003440991
—
CA
Enumeration date
02/28/2020
Last updated
07/16/2020
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