Individual
JANELL WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 FRONTAGE RD, SUITE 228, KENAI, AK 99611-7755
(907) 222-2652
Mailing address
805 FRONTAGE RD, SUITE 228, KENAI, AK 99611-7755
(907) 222-2652
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM6101
STATE
AK
Enumeration date
02/26/2013
Last updated
02/26/2013
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