Individual
SELENA MARIE WOOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., AP
Contact information
Practice address
3207 PEORIA RD, ORANGE PARK, FL 32065-7620
(904) 868-9615
Mailing address
3207 PEORIA RD, ORANGE PARK, FL 32065-7620
(904) 868-9615
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2987
FL
Other
Enumeration date
12/02/2012
Last updated
12/02/2012
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