Individual
KISHA MARY SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7141 SECURITY BLVD, BALTIMORE, MD 21244-1811
(443) 663-6420
Mailing address
8221 TOWNSHIP DR, OWINGS MILLS, MD 21117-5417
(410) 258-8599
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
R223110
MD
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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