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Individual

JEREEN D WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5951 POYNER VILLAGE PKWY STE 201, RALEIGH, NC 27616-3482
(984) 277-7669
Mailing address
5951 POYNER VILLAGE PKWY STE 102, RALEIGH, NC 27616-3482
(984) 277-7669

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
QVJE6KXFP8
NC

Other

Enumeration date
07/17/2023
Last updated
08/16/2023
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