Individual
MS. LESLIE JUNE MCJILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MEDSTAR URGENT CARE CLINIC, 8605 RIDGELYS CHOICE DR SUITE 100, NOTTINGHAM, MD 21236-2953
(855) 910-3278
Mailing address
8605 RIDGELYS CHOICE DR STE 100, BALTIMORE, MD 21236-2953
(855) 910-3278
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0006324
MD
363AS0400X
Surgical Physician Assistant
C0006324
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0006324
MARYLAND STATE LICENSE
MD
Enumeration date
09/29/2009
Last updated
08/14/2024
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