Individual
ALISA K. STUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6301 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3905
(301) 770-3201
(301) 770-3205
Mailing address
6301 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3905
(301) 770-3201
(301) 770-3205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001760
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0001760
MARYLAND LICENSE
MD
Enumeration date
01/15/2007
Last updated
07/08/2007
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