Individual
SHANNON LEIGH TREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8739 ROCK LODGE RD, ACCIDENT, MD 21520-1126
(410) 726-1443
(301) 334-1819
Mailing address
8739 ROCK LODGE RD, ACCIDENT, MD 21520-1126
(410) 726-1443
(301) 334-1819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05315
MD
Other
Enumeration date
01/31/2014
Last updated
10/02/2023
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