Individual
MAURCENA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.F.A
Contact information
Practice address
3006 INDIANA ST NE, ALBUQUERQUE, NM 87110-2627
(505) 872-4002
Mailing address
3006 INDIANA ST NE, ALBUQUERQUE, NM 87110
(505) 872-4002
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R07574
NM
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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