Individual
MARIAN ELIZABETH WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
11234 ANDERSON ST, CP A1113D, LOMA LINDA, CA 92354-2804
(909) 558-8000
(909) 558-7519
Mailing address
PO BOX 1342, LOMA LINDA, CA 92354-1342
(909) 792-7443
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
299036
CA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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