Individual
TIARA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
3700 COLDWATER CANYON AVE, STUDIO CITY, CA 91604-2301
(661) 362-3499
Mailing address
3700 COLDWATER CANYON AVE, STUDIO CITY, CA 91604-2301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000025488
—
Other
Enumeration date
08/18/2017
Last updated
01/11/2021
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