Individual
MS. PAMELA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
832 TAMMY COVE LN, JACKSONVILLE, FL 32218-7646
(904) 386-3465
Mailing address
832 TAMMY COVE LN, JACKSONVILLE, FL 32218-7646
(904) 386-3465
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251E00000X
Home Health Agency
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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