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Imani Wells
Student in an Organized Health Care Education/Training Program in Lucedale, Mississippi
NPI 1821850892

Imani Wells is a Student in an Organized Health Care Education/Training Program based in Lucedale, MS. Imani Wells practices in Lucedale, MS. The NPI Number for Imani Wells is 1821850892 and holds a License No. (Mississippi).

The current practice location address for Imani Wells is 25520 Tom Polk Rd, Lucedale, MS and can be reached out via phone at 601-508-8328.

Location: 25520 Tom Polk Rd, Lucedale, MS, 39452-4892
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821850892
Provider Name
Imani Wells
Credential
Provider Entity Type
Individual
Gender
Female
Address
25520 Tom Polk Rd, Lucedale, MS, 39452-4892
Phone Number
601-508-8328
Fax Number
Provider Enumeration Date
01/25/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25520 Tom Polk Rd
City
Lucedale
State
Mississippi
Zip
39452-4892
Phone Number
601-508-8328
Fax Number
person
Provider Business Mailing Address Details
Address
25520 Tom Polk Rd
City
Lucedale
State
Mississippi
Zip
39452-4892
Phone Number
601-508-8328
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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