Individual
DR. MICHELLE JUANEZA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 EASTERN BLVD., SUITE B, BALTIMORE, MD 21221-6921
(410) 238-2200
(410) 238-2355
Mailing address
301 EASTERN BLVD., SUITE B, BALTIMORE, MD 21221-6921
(410) 238-2200
(410) 238-2355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0053641
MD
Other
Enumeration date
08/01/2005
Last updated
07/08/2007
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