Individual
BROOKE SELLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4957 BURT AVE, GRAND LEDGE, MI 48837-1148
(517) 898-1983
Mailing address
4957 BURT AVE, GRAND LEDGE, MI 48837-1148
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
9830535
MI
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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