| Diane Marie Selleck, RD | |
|
12033 Agency Rd, Parker, AZ 85344-7718 | |
| (928) 669-3283 | |
| Not Available |
| Full Name | Diane Marie Selleck |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 12033 Agency Rd, Parker, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750503900 | NPI | - | NPPES |
| 932530 | Other | CDR REGISTRATION ID NUMBE | |
| 37001488A | Other | IN | DIETITIAN CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 932530 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Marie Selleck, RD 122 Sunflower Dr, Lake Havasu City, AZ 86403-6658 Ph: (928) 855-5289 | Diane Marie Selleck, RD 12033 Agency Rd, Parker, AZ 85344-7718 Ph: (928) 669-3283 |
Glen P Revere, R.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3131 | |
Ann M Farrar, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 912 S Ocotillo Ave, Parker, AZ 85344 Phone: 928-669-2990 |