Individual
MS. KASSANDRA LEA MANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
13302 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2675
(240) 513-3590
(301) 797-4975
Mailing address
13302 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2675
(240) 513-3590
(301) 797-4975
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
0022487
MD
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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