Individual
SELENA G CARMONA
Active
Individual
SELENA G CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103724712
DRIVERS LICENSE
SC
Enumeration date
08/09/2019
Last updated
08/09/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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