Individual
TAMMY SELJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 BROOKPOINT DR, MACEDONIA, OH 44056-1606
(330) 550-0492
Mailing address
950 BROOKPOINT DR, MACEDONIA, OH 44056-1606
(330) 550-0492
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
5004677
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5004677
—
OH
Enumeration date
12/01/2020
Last updated
12/02/2020
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