Individual
MRS. MICHELLE ARLENE DEMATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
71 OLD MILL BOTTOM RD N, SUITE 300, ANNAPOLIS, MD 21409-5410
(410) 268-3887
(410) 268-8171
Mailing address
71 OLD MILL BOTTOM RD N, SUITE 300, ANNAPOLIS, MD 21409-5410
(410) 268-3887
(410) 268-8171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004351
VA
363AM0700X
Medical Physician Assistant
Primary
C05800
MD
Other
Enumeration date
08/30/2006
Last updated
08/14/2015
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