Individual
ELEYA GATLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9746 GROFFS MILL DR, OWINGS MILLS, MD 21117-6341
(443) 379-0167
Mailing address
9881 BAYLINE CIR, OWINGS MILLS, MD 21117-5621
(443) 991-9478
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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