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Individual

TRACY SELLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4407 BELLAIRE DR S APT 216, FORT WORTH, TX 76109-5104
(817) 524-8135
Mailing address
4450 OAK PARK LN UNIT 100772, FT WORTH, TX 76185-2234
(817) 524-8135

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
05/10/2019
Last updated
05/10/2019
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