Most Relevant Information
Provider Data
| NPI Number: | 1003219320 |
| Provider Name: | STELLA SEGUN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN1002116 |
Most Important Dates
| Enumeration Date: | 10/01/2014 |
| Last Updated: | 10/01/2014 |
Provider Practice Location
6856 EASTERN AVE NW
SUITE 220
WASHINGTON
DC
200122165
Practice Location Phone/Fax
| Phone: | 2025456980 |
| Fax: |
Provider Mailing Location
8536 FREYMAN DR APT 213
CHEVY CHASE
MD
208157819
Provider Mailing Phone/Fax
| Phone: | 2404764415 |
| Fax: |