CHANCE MATTHEW SELVIDGE

BATON ROUGE, LA
NPI1053261719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: TX  947065)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-02-02
Last Update Date2026-02-02
Business Address
CHANCE MATTHEW SELVIDGE
5220 ESSEN LN
BATON ROUGE, LA 70809-3542
Phone number: 225-526-1971
Mailing Address
CHANCE MATTHEW SELVIDGE
5220 ESSEN LN
BATON ROUGE, LA 70809-3542
Phone number: 225-526-1971
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