Individual
JESSICA SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1505 E CHURCHVILLE RD, BEL AIR, MD 21014-4742
(410) 420-6970
Mailing address
1505 E CHURCHVILLE RD, MEDICAL STAFF OFFICE, BEL AIR, MD 21014-4742
(410) 420-6970
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004679
MD
Other
Enumeration date
03/02/2012
Last updated
11/08/2012
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