Individual
PHYLLIS-CARMEN REBECCA COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 701-4547
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 701-4547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R185937
MD
Other
Enumeration date
04/07/2010
Last updated
03/27/2013
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