Individual
SELINA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WHITNEY AVE APT 329, HARVEY, LA 70058-3341
(504) 237-4868
Mailing address
2700 WHITNEY AVE APT 329, HARVEY, LA 70058-3341
(504) 237-4868
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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