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Individual

MRS. CARLY WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD & IBCLC

Contact information

Practice address
2451 E. BASELINE RD., #130, GILBERT, AZ 85234
(480) 626-6515
(480) 507-2218
Mailing address
2451 E. BASELINE RD., #130, GILBERT, AZ 85234
(480) 626-6515
(480) 507-2218

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1062383
174N00000X
Lactation Consultant (Non-RN)
L-313583

Other

Enumeration date
11/28/2025
Last updated
11/28/2025
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