Individual
MR. JOEY LEMAR WELLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4817 YORK ST APT 218, METAIRIE, LA 70001-1134
(504) 251-2289
Mailing address
4817 YORK ST APT 218, METAIRIE, LA 70001-1134
(504) 251-2289
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
NONEXISTENT
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/20/2019
Last updated
09/20/2019
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