Individual
LINDA JEAN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 W 117TH ST, CLEVELAND, OH 44111-1642
(216) 417-4831
Mailing address
125 E 156TH ST APT 606, CLEVELAND, OH 44110-1136
(216) 414-2519
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003833
OH
Other
Enumeration date
01/30/2023
Last updated
02/02/2023
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