Individual
SHANNON BONDOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8765 BRANCH AVE STE 29, CLINTON, MD 20735-2630
(240) 303-3838
Mailing address
4617 STRAUSS AVE, INDIAN HEAD, MD 20640-1809
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
CSES5200390
DC
156F00000X
Technician/Technologist
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
452330
MD
174400000X
Specialist
CSES5200390
DC
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
452330
MD
225700000X
Massage Therapist
Primary
452330
MD
225700000X
Massage Therapist
—
DC
374700000X
Technician
452330
MD
374J00000X
Doula
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2022
Last updated
10/13/2022
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