Individual
SHANELL HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3216 BELAIR RD, BALTIMORE, MD 21213-1258
(443) 527-0347
Mailing address
3216 BELAIR RD, BALTIMORE, MD 21213-1258
(443) 527-0347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1ASSZMLKO
MD
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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