Individual
EMILY SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 FRONT AVE STE 205, LUTHERVILLE, MD 21093-5365
(410) 823-4263
(410) 823-1861
Mailing address
202 ARMADA CT, JOPPA, MD 21085-4713
(301) 481-9391
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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