Individual
SHOLEY SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14424 BASINGSTOKE LN, SILVER SPRING, MD 20905-7005
(301) 379-8438
Mailing address
14424 BASINGSTOKE LN, SILVER SPRING, MD 20905-7005
(301) 379-8438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R179984
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AHC125738
BESTHEALTHCHOICE PLAN
MD
Enumeration date
09/01/2015
Last updated
09/01/2015
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