Individual
SAMANTHA JURISAN VANEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 W FAYETTE ST STE 300, BALTIMORE, MD 21201-1756
(301) 806-2802
Mailing address
10517 EDGEFIELD DR, ADELPHI, MD 20783-1133
(301) 806-2802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
10/24/2025
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