Individual
STEPHANIE SELLARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13905 LAFFITE DRIVE, CORPUS CHRISTI, TX 78418-6133
(361) 813-2621
Mailing address
13905 LAFFITE DR, CORPUS CHRISTI, TX 78418-6133
(361) 813-2621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT114099
TX
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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