Individual
MAYRA A. WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2822
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2822
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
0101264098
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101264098
VA
Other
Enumeration date
05/06/2016
Last updated
08/10/2023
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