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Destinee A Wells

Rehabilitation Practitioner in Kalamazoo, MI. Individual provider (NPI-1).

NPI number1154774826
StatusActive
Last updated in NPPESJul 19, 2016

Details

NPI
1154774826
Entity type
Individual (NPI-1)
Name
Destinee A Wells
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2016
Last updated
Jul 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

4334 Ridgeway Cir
Apt E
Kalamazoo, MI 49006-6240

Phone 847-987-4467

Mailing address

4334 Ridgeway Cir
Apt E
Kalamazoo, MI 49006-6240

Phone 847-987-4467

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