Individual
SHELA TOWANNA MAINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 ROCKVILLE PIKE, ROCKVILLE, MD 20852-1133
(301) 424-0658
Mailing address
10213 WASHINGTONIAN BLVD APT 574, GAITHERSBURG, MD 20878-8336
(912) 248-2346
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C06005
MD
363AM0700X
Medical Physician Assistant
PA9109488
FL
Other
Enumeration date
11/10/2015
Last updated
06/17/2025
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