Individual
BRADLEE ELIZABETH WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 E 59TH PL N, TULSA, OK 74126-2442
(918) 697-1845
Mailing address
1611 E 59TH PL N, TULSA, OK 74126-2442
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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