| Theron Wells Md | |
|
730 Magnolia Ave Corona CA 92879-3117 | |
| (951) 371-9391 | |
| (951) 346-9040 |
| Full Name | Theron Wells Md |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 730 Magnolia Ave, Corona, California |
| Authorized Official Name and Position | Theron Charles Wells (OWNER-MD) |
| Authorized Official Contact | 9513719391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theron Wells Md Po Box 2377 Corona CA 92878-2377 Ph: (951) 371-9391 | Theron Wells Md 730 Magnolia Ave Corona CA 92879-3117 Ph: (951) 371-9391 |
| NPI Number | 1730232075 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730232075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | G69274 (California) | Primary |
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