Individual
MRS. SHAUNA LEE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4313 MADISON ST, HYATTSVILLE, MD 20781-1625
(240) 764-2253
(240) 764-2275
Mailing address
16703 WARDLOW RD, UPPER MARLBORO, MD 20772-3447
(301) 613-6608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000389
MD
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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