Individual
EMMANUEL A GBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 E CHERRY HILL RD, REISTERSTOWN, MD 21136-3023
(443) 204-3919
(410) 521-3671
Mailing address
117 E CHERRY HILL RD, REISTERSTOWN, MD 21136-3023
(443) 204-3919
(410) 521-3671
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R189984
MD
Other
Enumeration date
02/04/2020
Last updated
02/06/2020
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