Individual
TINA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 PARAGON PKWY, CLYDE, NC 28721-9463
(828) 356-2274
Mailing address
157 PARAGON PKWY, CLYDE, NC 28721-9463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
275365
NC
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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