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Individual
MARIA I SELIVERSTOV
Active
Individual
MARIA I SELIVERSTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A66938
CA
2084P0805X
Geriatric Psychiatry Physician
A66938
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A669380
—
CA
Enumeration date
02/28/2008
Last updated
02/28/2008
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