Individual
DAWN HAYLA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2143 BEVERLY BLVD, SHELTON, WA 98584-2803
(253) 593-2413
(253) 627-4817
Mailing address
721 FAWCETT AVE, TACOMA, WA 98402-5502
(253) 593-2413
(253) 627-4817
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61138117
WA
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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