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Individual

MS. DIANA WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1221 FULTON MALL, FRESNO, CA 93775-1915
(559) 600-3229
(559) 445-2772
Mailing address
P.O. BOX 11867, FRESNO, CA 93775-1867
(559) 600-3229
(559) 445-2772

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
793589
CA

Other

Enumeration date
09/12/2012
Last updated
09/25/2012
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