Individual
KUM IM WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N R ST, LOMPOC, CA 93436-5226
(805) 737-6473
Mailing address
300 N SAN ANTONIO RD, SANTA BARBARA, CA 93110-1316
(805) 681-5461
(805) 681-5200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
589955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
589955
RD REGISTRATION #
CA
Enumeration date
04/20/2007
Last updated
07/08/2007
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