LATAVIA MARIE WELLS

PORT CHARLOTTE, FL
NPI1760088272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: FL  RN9542926)
Enumeration Date2020-12-09
Last Update Date2020-12-09
Business Address
LATAVIA MARIE WELLS PMHNP
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952-6755
Phone number: 941-883-4518
Mailing Address
LATAVIA MARIE WELLS PMHNP
4310 METRO PKWY STE 205
FORT MYERS, FL 33916-9416
Phone number: 239-223-2751
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