Individual
SELENA JIMMIEKO COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1124 ANDREW AVILES CIR, TAMPA, FL 33619-5006
(813) 802-7219
(813) 246-5079
Mailing address
1124 ANDREW AVILES CIR, TAMPA, FL 33619-5006
(813) 802-7219
(813) 246-5079
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
218096
FL
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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