Individual
MISS DARASIA SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6326 BAYNTON ST, PHILADELPHIA, PA 19144-1920
(267) 255-5057
Mailing address
6326 BAYNTON ST, PHILADELPHIA, PA 19144-1920
(267) 255-5057
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/03/2013
Last updated
08/03/2013
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