WILLIE SELLERS

SURPRISE, AZ
NPI1154928463
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: AZ  248870)
Enumeration Date2020-10-08
Last Update Date2020-10-08
Business Address
WILLIE SELLERS AGACNP-BC
15354 W CHARTER OAK RD
SURPRISE, AZ 85379-9184
Phone number: 843-616-4948
Mailing Address
WILLIE SELLERS AGACNP-BC
15354 W CHARTER OAK RD
SURPRISE, AZ 85379-9184
Phone number: