Individual
TRACEY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2402 S LEWISTON ST, AURORA, CO 80013-1431
(720) 404-6674
Mailing address
2402 S LEWISTON ST, AURORA, CO 80013-1431
(720) 404-6674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT0009289
CO
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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