Individual
MRS. SHANNON M BEHELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
610 9TH AVE, BRUNSWICK, MD 21716-1828
(301) 834-7188
(301) 834-7889
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0003893
MD
Other
Enumeration date
06/05/2009
Last updated
06/10/2009
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