Individual
TEIRA MARIE PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(443) 889-3091
Mailing address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0012113
DE
363AM0700X
Medical Physician Assistant
C0007707
MD
Other
Enumeration date
12/30/2019
Last updated
10/03/2024
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