Most Relevant Information
Provider Data
| NPI Number: | 1003440991 |
| Provider Name: | GERMAIN LYNEA WELLS |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/28/2020 |
| Last Updated: | 07/16/2020 |
Provider Practice Location
1051 ADLER DR
CLOVIS
CA
936121504
Practice Location Phone/Fax
| Phone: | 5597082871 |
| Fax: |
Provider Mailing Location
1051 ADLER DR
CLOVIS
CA
936121504
Provider Mailing Phone/Fax
| Phone: | 5597082871 |
| Fax: |