Individual
ALISHA JANE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2476 11TH AVE, SIDNEY, NE 69162-2333
(308) 562-7947
Mailing address
2476 11TH AVENUE, SIDNEY, NE 69162
(308) 562-7947
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01998110903
—
NE
Enumeration date
05/06/2025
Last updated
05/06/2025
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