Individual
JIREH-SELA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15350 TRAILSIDE DR APT 200, PARKVILLE, MO 64152-8748
(614) 615-1116
Mailing address
15350 TRAILSIDE DR APT 200, PARKVILLE, MO 64152-8748
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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