Individual
JUSTINE MOUSSALA EMBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
546 N FREDERICK AVE, GAITHERSBURG, MD 20877-2504
(301) 948-3250
Mailing address
546 N FREDERICK AVE, GAITHERSBURG, MD 20877-2504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R197882
MD
Other
Enumeration date
06/03/2019
Last updated
05/26/2022
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