Individual
LEA ANN SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 JOHN KISSINGER DR, WABASH, IN 46992-1648
(260) 274-0444
Mailing address
20 JOHN KISSINGER DR, WABASH, IN 46992-1648
(260) 274-0444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28090823A
IN
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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