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1861125155
TANDRENIKA WELLS
SMYRNA, GA
NPI
1861125155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN197332)
Enumeration Date
2022-07-05
Last Update Date
2022-07-15
Business Address
Ms. TANDRENIKA WELLS
3490 SOUTH COBB DRIVE SE.
SMYRNA, GA 30080
Phone number: 770-433-3447
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Mailing Address
Ms. TANDRENIKA WELLS
568 VILLAGE PARK DR NW
KENNESAW, GA 30144-5551
Phone number: 860-894-9594
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