Individual
JESSICA LEIGH SCUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 ORLEANS ST # G1075, BALTIMORE, MD 21287
(410) 955-5000
Mailing address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06796
MD
Other
Enumeration date
01/24/2018
Last updated
07/14/2018
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