Individual
LUZVIMINDA SELGA KOUTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8152 GENEX WAY, ELK GROVE, CA 95757-6207
(916) 831-0404
Mailing address
8152 GENEX WAY, ELK GROVE, CA 95757-6207
(916) 831-0404
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95029085
CA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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