BECKY J WELLS

MERIDIAN, ID
NPI1780617811
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  PA-839)
Enumeration Date2006-07-09
Last Update Date2019-03-26
Business Address
BECKY J WELLS PAC
260 S TEN MILE RD
MERIDIAN, ID 83642-6100
Phone number: 208-809-2872
Mailing Address
BECKY J WELLS PAC
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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