Individual
BEVERLY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 CAMROSE DR, NILES, OH 44446-2129
(330) 652-1633
Mailing address
185 CAMROSE DR, NILES, OH 44446-2129
(330) 652-1633
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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