Individual
MALLORY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 PERRY CREEK RD, RALEIGH, NC 27616-5704
(919) 272-6532
Mailing address
536 ALLEN RD, CLAYTON, NC 27520-8072
(919) 306-2061
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4659
NC
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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