Individual
MISS OLGA SELCOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., LAC
Contact information
Practice address
11880 BUSTLETON AVE, PHILADELPHIA, PA 19116-2538
(215) 501-2142
Mailing address
11880 BUSTLETON AVE, PHILADELPHIA, PA 19116-2538
(215) 501-2142
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK 001022
PA
Other
Enumeration date
11/14/2011
Last updated
09/08/2015
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