Individual
MS. JUDITH ANNE SELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS CNOR CRPFA
Contact information
Practice address
2 MEMORIAL DRIVE, SUITE #207, DECATUR, IL 62526
(217) 876-2784
(217) 876-2785
Mailing address
2 MEMORIAL DRIVE, SUITE #207, DECATUR, IL 62526
(217) 876-2784
(217) 876-2785
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
IL
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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