Individual
DR. KIMBERLY LORAINE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 PRISON RD, REPRESA, CA 95671-3001
(916) 985-8610
Mailing address
PO BOX 221611, SACRAMENTO, CA 95822-8611
(619) 244-4237
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY27907
CA
Other
Enumeration date
01/04/2013
Last updated
05/02/2022
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