Individual
SELINA SULIVERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1355 ROSWELL RD STE 152, MARIETTA, GA 30062-9058
(678) 809-0154
Mailing address
1355 ROSWELL RD STE 152, MARIETTA, GA 30062-9058
(678) 809-0154
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010769
GA
Other
Enumeration date
02/06/2023
Last updated
09/18/2024
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