Individual
MRS. TERYN ELIZABETH MANNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
196 THOMAS JOHNSON DR STE 135, FREDERICK, MD 21702-4518
(301) 694-6688
(301) 694-8524
Mailing address
2820 OLD WASHINGTON RD, WESTMINSTER, MD 21157-7548
(304) 590-2101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06627
MD
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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