Individual
SEAN STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
6305 BRECHIN DR, BRANDYWINE, MD 20613-6261
(240) 383-0436
(760) 731-0414
Mailing address
13606 HOTOMTOT DR, UPPER MARLBORO, MD 20774-7151
(760) 731-0313
(760) 731-0414
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0002
MD
246ZS0410X
Surgical Technologist
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—
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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