Individual
JORDYN DANIELLE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST APT 5, POMPANO BEACH, FL 33062-3564
(888) 880-9270
Mailing address
124 CHRISTY DR, BEULAVILLE, NC 28518-7711
(270) 293-9779
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
R02-710-631
KY
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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