Individual
MS. PAULA HELENE ENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2101 MEDICAL PARK DR, 305, SILVER SPRING, MD 20902-4053
(301) 754-0833
Mailing address
5906 PONTIAC ST, BERWYN HEIGHTS, MD 20740-2726
(301) 441-3240
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0001097
MD
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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