Individual
MRS. JOYCE MIRANDA SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
108 LOS PUEBLOS DR, CLINTON, MS 39056-5914
(601) 473-6863
Mailing address
108 LOS PUEBLOS DR, CLINTON, MS 39056-5914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
892747
MS
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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