Individual
TARA JEAN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10699 COUNTY ROAD 107 APT C4, PROCTORVILLE, OH 45669-3503
(304) 733-1094
Mailing address
10699 COUNTY ROAD 107 APT C4, PROCTORVILLE, OH 45669-3503
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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