Organization
MOBILE MEMORY AND HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MARIE GALIK PHD, CRNP (NURSE PRACTITIONER)
(410) 627-5213
Entity
Organization
Contact information
Practice address
2893 EVERGREEN WAY, ELLICOTT CITY, MD 21042-1052
(410) 627-5213
Mailing address
2893 EVERGREEN WAY, ELLICOTT CITY, MD 21042-1052
(410) 627-5213
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R121770
MD
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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