CARLOS JOHN WELLS

ROOSEVELT, NY
NPI1912109356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  267953)
Enumeration Date2007-06-05
Last Update Date2007-07-08
Business Address
-- CARLOS JOHN WELLS LPN
9 UNION STREET
ROOSEVELT, NY 11575
Phone number: 516-379-2138
Mailing Address
-- CARLOS JOHN WELLS LPN
167-19 142 AVE
JAMAICA, NY 11434
Phone number: 718-316-7945
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