DR. Mary Melinda Wells, OD

NPI #1093851610 in Lake Forest, California

Provider Information

NPI Number: 1093851610
Entity Type: Individual
Name: DR. Mary Melinda Wells, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 30, 2007
Last Updated: Mar 13, 2009

Practice Location

Address: 23591 EL TORO ROAD
Address 2: STE 145
City: Lake Forest
State: California
ZIP Code: 92630
Phone: (949) 859-3180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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