Individual
MELLISA TAMIKA BARNSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1434 PORTER ST, FREDERICK, MD 21702-9254
(301) 619-7175
Mailing address
1434 PORTER ST, FREDERICK, MD 21702-9254
(301) 619-7175
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/25/2011
Last updated
03/21/2025
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