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Individual

MS. MABEL BROSSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20029 MATTINGLY TER, GAITHERSBURG, MD 20879-4502
(240) 899-3239
Mailing address
20029 MATTINGLY TER, GAITHERSBURG, MD 20879-4502
(240) 899-3239

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R172398
MD

Other

Enumeration date
03/01/2022
Last updated
03/02/2022
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