Individual
JENNIFER WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(214) 687-0995
Mailing address
39171 MARNE AVE, STERLING HEIGHTS, MI 48313-5525
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704287207
MI
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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