Individual
DOMINIQUE SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11700 KANIS RD STE 2, LITTLE ROCK, AR 72211-3794
(501) 221-1941
Mailing address
11700 KANIS RD STE 2, LITTLE ROCK, AR 72211-3794
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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