Jotham Wells is a student in an organized health care education training program in Las Vegas, NV. The provider is 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. Jotham Wells NPI is 1629741517. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7900 CANYON GROVE CT
LAS VEGAS, NV
ZIP 89131-751
Phone: (732) 309-1155
The NPI 1629741517 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/27/2021 and was last updated on 7/27/2021.