Most Relevant Information
Provider Data
| NPI Number: | 1003175373 |
| Provider Name: | DANIELLE WELLS BA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/08/2012 |
| Last Updated: | 05/08/2012 |
Provider Practice Location
3810 WINCHESTER RD
MEMPHIS
TN
381186045
Practice Location Phone/Fax
| Phone: | 9013691420 |
| Fax: | 9013691433 |
Provider Mailing Location
5505 FOG HOLLOW LN
APT 201
MEMPHIS
TN
381250862
Provider Mailing Phone/Fax
| Phone: | 9018570750 |
| Fax: |