Individual
KELLY ELAINE SEAMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 E CAMPBELL AVE, GILBERT, AZ 85234-4614
(480) 313-0922
Mailing address
450 E CAMPBELL AVE, GILBERT, AZ 85234-4614
(480) 313-0922
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D03624830
AZ
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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