Individual
JUSTIN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
1398 SURVEYOR ST, POPE ARMY AIRFIELD, NC 28308-2710
(910) 924-5754
Mailing address
1398 SURVEYOR ST, POPE ARMY AIRFIELD, NC 28308-2710
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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