Individual
KRISDEN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BURMASTER ST, GRETNA, LA 70053-2246
(504) 766-0286
Mailing address
1000 BURMASTER ST, GRETNA, LA 70053-2246
(504) 766-0286
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
093617
LA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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