Individual
ALYCE SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070
Mailing address
5974 PRIVATE ROAD 2341, ORE CITY, TX 75683-5162
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
350431
TX
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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