Individual
STEPHANIE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 W COUNTY LINE RD, LUTZ, FL 33558-5032
(813) 949-8999
(813) 949-8999
Mailing address
1114 W COUNTY LINE RD, LUTZ, FL 33558-5032
(813) 949-8999
(813) 949-8999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9332
FL
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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