Individual
BECKY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46226 MC MOORE RD, HAMMOND, LA 70401
(985) 510-0291
Mailing address
46226 MC MOORE RD, HAMMOND, LA 70401
(985) 510-0291
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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