Individual
SHELBY SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
999 HANCOCK ST UNIT 412, QUINCY, MA 02169-2125
(480) 544-8710
Mailing address
999 HANCOCK ST UNIT 412, QUINCY, MA 02169-2125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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