Individual
ELIZABETH STUENKEL SELGRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
3224 LAKE WOODARD DR, RALEIGH, NC 27604-3659
(919) 231-6890
Mailing address
3224 LAKE WOODARD DR, RALEIGH, NC 27604-3659
(919) 231-6890
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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