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NPI Code Detail

MEDICARE: MS. ROZLANE DENESE WELLS

MEDICARE:  MS. ROZLANE DENESE WELLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist1761AZ

General Provider Information

NPI Number : 1447494182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROZLANE DENESE WELLS
Provider Business Mailing Address
First Line : 6233 S 15TH DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85041-5516
Country : US
Telephone Number : 602-510-4196
Fax Number :
Provider Business Practice Location Address
First Line : 6233 S 15TH DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85041-5516
Country : US
Telephone Number : 602-510-4196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2009
Last Update Date : 04/24/2009

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Directions to “ MS. ROZLANE DENESE WELLS ” Practice Location

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