Most Relevant Information
Provider Data
| NPI Number: | 1003434960 |
| Provider Name: | ANNETTE MARIE SHELTON LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 305S00000X |
| Specialty: | Point of Service |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2020 |
| Last Updated: | 07/08/2020 |
Provider Practice Location
12901 LAUREL BOWIE RD APT 202
LAUREL
MD
207082203
Practice Location Phone/Fax
| Phone: | 4435617246 |
| Fax: |
Provider Mailing Location
12901 LAUREL BOWIE RD APT 202
LAUREL
MD
207082203
Provider Mailing Phone/Fax
| Phone: | 4435617246 |
| Fax: |