Individual
ALICIA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
970 LAKELAND DR STE 40, JACKSON, MS 39216-4640
(601) 200-4850
(601) 200-4838
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A2473
MS
Other
Enumeration date
09/28/2011
Last updated
01/05/2015
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