Individual
MARLA GRAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N BROADWAY, BALTIMORE, MD 21205-1424
(443) 923-4436
Mailing address
801 N BROADWAY, BALTIMORE, MD 21205-1424
(443) 923-4436
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R120941
MD
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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