Individual
DEBRA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
106 E HOUGHTON ST, TUSCOLA, IL 61953-1610
(217) 493-1678
Mailing address
106 E HOUGHTON, TUSCOLA, IL 61953
(217) 493-1678
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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