Individual
MATTHEW WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN38871
Contact information
Practice address
12021 WILMINGTON AVE STE 100, LOS ANGELES, CA 90059-3019
(562) 295-5955
Mailing address
1473 VIA SAVONA DR, HENDERSON, NV 89052-3127
(702) 982-0625
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
755553
CA
Other
Enumeration date
08/19/2009
Last updated
08/24/2024
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