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Individual
TANYA R SELLERS-HANNIBAL
Active
Individual
TANYA R SELLERS-HANNIBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01173
MD
213ES0131X
Foot Surgery Podiatrist
01173
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119128400
—
MD
01
—
T366
BCBS
MD
Enumeration date
07/21/2005
Last updated
07/25/2017
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