Individual
MR. JASON CHARLES WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HM1 IDC
Contact information
Practice address
PSC BOX 20116, MSOSG, MARSOC, CAMP LEJEUNE, NC 28542-0116
(910) 450-6109
Mailing address
PSC BOX 20116, MSOSG, MARSOC, CAMP LEJEUNE, NC 28542-0116
(910) 450-6109
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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