ACHALA SHIVANTHI GUNASENA

BEL AIR, MD
NPI1497282610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0006440)
Enumeration Date2017-05-18
Last Update Date2017-05-18
Business Address
ACHALA SHIVANTHI GUNASENA PA-C
5 BEL AIR SOUTH PKWY STE 1535
BEL AIR, MD 21015-3816
Phone number: 410-569-2441
Mailing Address
ACHALA SHIVANTHI GUNASENA PA-C
5 BEL AIR SOUTH PKWY STE 1535
BEL AIR, MD 21015-3816
Phone number:
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