Organization
PORTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZELBESA MACK CRNP (NURSE PRACTITIONER)
(410) 961-0844
Entity
Organization
Contact information
Practice address
7939 HONEYGO BLVD STE 208, BALTIMORE, MD 21236-5992
(410) 961-0844
Mailing address
28 HADDINGTON RD, TIMONIUM, MD 21093-5719
(410) 961-0844
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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