SearchMaryland104100000X

Shanna Mcgusty

NPI 1548915291 · on the registry since 2022 · sole proprietor

Practice

Address
11308 Golden Eagle Pl Unit E
Waldorf, MD 20603
Phone
(301) 710-8447
Organisation at this address
Shanna Mcgusty
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland