Individual
JENIFER WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP60259682
Contact information
Practice address
331 N 1ST ST, YAKIMA, WA 98901-2303
(509) 823-6028
Mailing address
2300 S 58TH AVE, YAKIMA, WA 98903-1295
(509) 834-0573
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60259682
WA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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