Individual
JEAN SELLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26036 LANKFORD HWY, ONLEY, VA 23418-3005
(757) 302-4096
Mailing address
26036 LANKFORD HWY, ONLEY, VA 23418-3005
(757) 302-4096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
202207773
VA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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