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Individual

MRS. DIANNE K SELLERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LDEM, CPM, CBE,

Contact information

Practice address
1307 HEAPS RD, STREET, MD 21154-1531
(410) 227-6174
Mailing address
1307 HEAPS RD, STREET, MD 21154-1531
(410) 227-6174
(443) 460-1329

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
176B00000X
Midwife
Primary

Other

Enumeration date
01/08/2011
Last updated
11/04/2021
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