Individual
JENNIFER JEANETTE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 S CHENANGO ST, ANGLETON, TX 77515-6080
(979) 864-9341
Mailing address
105 S CHENANGO ST, ANGLETON, TX 77515-6080
(979) 864-9341
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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