Individual
PATRICIA AZIZA-JENDAYI WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44300 5 MILE RD, NORTHVILLE, MI 48168-9504
(663) 892-7278
Mailing address
44300 5 MILE RD, NORTHVILLE, MI 48168-9504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704247932
MI
Other
Enumeration date
04/20/2012
Last updated
10/20/2022
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