Individual
SELLERS WESTOVER MCCLANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
250 EVANGELINE DR, MANDEVILLE, LA 70471-1882
(985) 869-8853
Mailing address
250 EVANGELINE DR, MANDEVILLE, LA 70471-1882
(985) 869-8853
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200489
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173146
—
LA
Enumeration date
10/18/2011
Last updated
12/06/2018
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