Most Relevant Information
Provider Data
NPI Number: | 1003026840 |
Provider Name: | LINDA SUE WELLS LVN |
Entity Type: | Individual |
Taxonomy Code: | 251E00000X |
Specialty: | Home Health |
License Number: | VN149689 |
Most Important Dates
Enumeration Date: | 05/23/2007 |
Last Updated: | 09/03/2021 |
Provider Practice Location
1808 RANCHO ENCANTADO COURT
MODESTO
CA
953587128
Practice Location Phone/Fax
Phone: | 2095967477 |
Fax: | 8006117128 |
Provider Mailing Location
1808 RANCHO ENCANTADO COURT
MODESTO
CA
95358
Provider Mailing Phone/Fax
Phone: | 2095967477 |
Fax: | 8006117121 |