Individual
REBEKAH SHULLENBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 KNOXVILLE RD, KNOXVILLE, MD 21758-9514
(240) 663-9477
Mailing address
708 KNOXVILLE RD, KNOXVILLE, MD 21758-9514
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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