Individual
ANNETTE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 534-4684
Mailing address
PO BOX 57, NAPLES, TX 75568-0057
(903) 285-1246
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
145691
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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