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Individual

EMILY WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 230-1682
(985) 230-6652
Mailing address
1864 OCTAVIA DR, MANDEVILLE, LA 70448-1023

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
235860
LA

Other

Enumeration date
06/12/2024
Last updated
06/21/2024
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