Individual
SEBLEWONGEL NEGA SHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA/CSA
Contact information
Practice address
8303 SAND CHERRY LN, LAUREL, MD 20723-1065
(757) 769-6157
Mailing address
8303 SAND CHERRY LN, LAUREL, MD 20723-1065
(757) 769-6157
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0202
DC
Other
Enumeration date
03/07/2012
Last updated
04/08/2021
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