Individual
MR. CARL JOSEPH WELLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 VIRGINIA ST, SEATTLE, WA 98101-1444
(206) 624-7046
Mailing address
1107 VIRGINIA ST, SEATTLE, WA 98101-1444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
PA
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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