Individual
SELENA MICHELLE KORBUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 E FRY BLVD, SIERRA VISTA, AZ 85635-2990
(520) 515-2930
Mailing address
370 QUENTIN DR, SAN ANTONIO, TX 78201-3732
(210) 643-6318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1103324
TX
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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