Individual
JESSICA LEIGH WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2220 MCCOMBS ST, GEORGETOWN, TX 78626-8139
(512) 720-0575
Mailing address
2220 MCCOMBS ST, GEORGETOWN, TX 78626-8139
(512) 720-0575
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81719
TX
Other
Enumeration date
10/19/2015
Last updated
02/11/2021
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