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MARIN SELENE CORDOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 765-8585
(208) 765-8486
Mailing address
212 W IRONWOOD DR STE D, COEUR D ALENE, ID 83814-1403

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7671569
ID

Other

Enumeration date
04/15/2022
Last updated
07/25/2025
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