Individual
MARK EHREN SHIRES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1806 REYNOLDS CT, CROFTON, MD 21114-2610
(410) 320-8503
Mailing address
1806 REYNOLDS CT, CROFTON, MD 21114-2610
(410) 320-8503
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2005
Last updated
07/08/2007
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