Individual
CARRIE DAWN DESHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
525 FULTON DRIVE, MCCONNELLSBURG, PA 17233
(717) 485-3850
(717) 485-3725
Mailing address
109 RAYLOC DR, HANCOCK, MD 21750-1518
(301) 678-5187
(301) 678-5797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051061
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA051061
MEDICAL PHY ASST LICENSE
PA
Enumeration date
05/23/2006
Last updated
03/07/2023
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