Individual
LILY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2560 BEVERLY DR, MOUNTAIN BRK, AL 35223-1116
(443) 252-0101
Mailing address
2560 BEVERLY DR, MOUNTAIN BRK, AL 35223-1116
(443) 252-0101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4035
AL
Other
Enumeration date
01/01/2024
Last updated
01/10/2024
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