Individual
SELLERS BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 WALES AVE, BIRMINGHAM, AL 35213-1414
(251) 367-7868
Mailing address
1212 WALES AVE, BIRMINGHAM, AL 35213-1414
(251) 367-7868
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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