Individual
DEIRDRE SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2737 SILVERHILL DR, WATERFORD, MI 48329-4421
(269) 615-9635
Mailing address
2737 SILVERHILL DR, WATERFORD, MI 48329-4421
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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