Individual
GALLUS ABOMO ASSALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2314 BROOKE GROVE RD, MITCHELLVILLE, MD 20721-1859
(240) 708-6848
Mailing address
2314 BROOKE GROVE RD, MITCHELLVILLE, MD 20721-1859
(240) 708-6848
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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