Individual
RICHARD DAVID GAMBLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, LMBT, LMT
Contact information
Practice address
8955 GUILFORD RD, #240, COLUMBIA, MD 21046-2651
(443) 393-2650
Mailing address
7108 HOLLY AVE, TAKOMA PARK, MD 20912-4226
(910) 273-5351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
198410
NC
225700000X
Massage Therapist
01053
NC
225700000X
Massage Therapist
Primary
M05495
MD
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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