Individual
MRS. JENNIFER MICHELLE SEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2014 S TOLLGATE RD, SUITE 200, BEL AIR, MD 21015-5903
(410) 569-9533
(410) 569-1254
Mailing address
2014 S TOLLGATE RD, SUITE 200, BEL AIR, MD 21015-5903
(410) 569-9533
(410) 569-1254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003393
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086984861
—
MD
Enumeration date
05/20/2007
Last updated
10/10/2018
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