Individual
JULIE SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 13TH ST, PARKERSBURG, WV 26101-4144
(304) 420-9663
Mailing address
1210 13TH ST, PARKERSBURG, WV 26101-4144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
32504
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162136000
—
WV
Enumeration date
03/17/2008
Last updated
03/17/2008
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