Individual
MRS. FALLON GABRIELLE SMALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBS
Contact information
Practice address
9228 SPRING ACRES RD, CLINTON, MD 20735-3031
(240) 462-5226
Mailing address
9228 SPRING ACRES RD, CLINTON, MD 20735-3031
(240) 462-5226
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
B74268C8E1
MD
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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