Individual
MELISSA REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1415 S MOUNTAIN RD STE 100, JOPPA, MD 21085-3236
(410) 918-0777
Mailing address
1415 S MOUNTAIN RD STE 100, JOPPA, MD 21085-3236
(410) 918-0777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
01/24/2023
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