Individual
MARIA SHESIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 N CAROLINE ST, BALTIMORE, MD 21205-1839
(410) 396-9410
Mailing address
3211 MARY AVE, BALTIMORE, MD 21214-2016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04925
MD
Other
Enumeration date
10/23/2012
Last updated
03/29/2018
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