Individual
MISS SIERRA MARIE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
(410) 332-9000
Mailing address
10945 PRICE MANOR WAY APT 441, LAUREL, MD 20723-6054
(585) 208-2182
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
022447
NY
363AM0700X
Medical Physician Assistant
Primary
C007644
MD
Other
Enumeration date
08/10/2018
Last updated
05/10/2023
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