Individual
MARCELL WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
8116 ARLINGTON BLVD, SUITE 183, FALLS CHURCH, VA 22042-1002
(703) 205-9000
(703) 205-9010
Mailing address
8116 ARLINGTON BLVD, SUITE 183, FALLS CHURCH, VA 22042-1002
(703) 205-9000
(703) 205-9010
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000057
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136000057
BOARD OF MEDICINE REGISTERED SURGICAL ASSISTANT
VA
01
—
3236
NCCSA
—
Enumeration date
06/27/2007
Last updated
06/08/2016
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