DENOTTA SHAVONN TEAGLE

BALTIMORE, MD
NPI1902807100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0001369)
Enumeration Date2005-08-10
Last Update Date2010-11-30
Business Address
DENOTTA SHAVONN TEAGLE PA-C
1501 DIVISION ST
BALTIMORE, MD 21217-3121
Phone number: 410-728-4176
Mailing Address
DENOTTA SHAVONN TEAGLE PA-C
3106 LAUREL VIEW DR
ABINGDON, MD 21009-2626
Phone number: 410-515-7747