Individual
MS. ANGELA MARIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16715 NE 79TH ST, REDMOND, WA 98052
(226) 290-0977
Mailing address
16715 NE 79TH ST, REDMOND, WA 98052-4425
(425) 242-0973
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
602959655
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271071030
—
WA
Enumeration date
04/03/2013
Last updated
04/03/2013
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