Individual
JESSICA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 EL DORADO, ALAMOGORDO, NM 88310-3970
(360) 701-4722
Mailing address
3027 EL DORADO, ALAMOGORDO, NM 88310-3970
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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