Individual
MRS. ASHLEY LEIGH SELVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
5 ELM AVE SE, FORT WALTON BEACH, FL 32548-5613
(480) 734-1421
Mailing address
5 ELM AVE SE, FORT WALTON BEACH, FL 32548-5613
(480) 734-1421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8253
FL
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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