Individual
MS. ALICE FAYE SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2991 TUSCARORA TRL, MIDDLEBURG, FL 32068-8226
(904) 563-1444
Mailing address
2991 TUSCARORA TRL, MIDDLEBURG, FL 32068-8226
(904) 563-1444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA31130
FL
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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