Individual
MRS. STEPHANIE C SELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 771-2006
Mailing address
20990 HOODED CROW DRIVE, LEESBURG, VA 20175-7506
(703) 771-2006
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0001178134
VA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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