Individual
DIANA M SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7512 STANICH LN STE 6E, GIG HARBOR, WA 98335-5111
(253) 509-4265
Mailing address
3214 38TH AVE NW, GIG HARBOR, WA 98335-8212
(253) 509-4265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017202
WA
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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