Mary Melinda Wells OD

NPI 1093851610 - Optometrist - 152W00000X

NPI Details
NPI 1093851610
Gender Female
Enumeration Date 01/30/2007
Last Updated 03/13/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
23591 EL TORO ROAD
STE 145
LAKE FOREST CA, 92630, US
Phone (949) 859-3180
Fax (949) 859-6317
Business Location
23591 EL TORO ROAD
STE 145
LAKE FOREST CA, 92630, US
Phone (949) 859-3180
Fax (949) 859-6317
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 0P9120T
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According to our database, Dr. Mary Melinda Wells OD NPI is 1093851610, taxonomy code is 152W00000X and license number is 0P9120T, license state is located at California. Mary Melinda Wells OD physically located at 23591 El Toro Road, Lake Forest CA, 92630. NPI Number Mary Melinda Wells OD has the Individual type.

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1093851610 NPI number is provided on an as is basis without warranty of any kind. 1093851610 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Melinda Wells OD are for informational purposes only.