Individual
MR. ANDRE WELLS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
227 KRISTY LN, HARRISBURG, PA 17111-5041
(215) 756-1422
Mailing address
227 KRISTY LN, HARRISBURG, PA 17111-5041
(215) 756-1422
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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