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Individual

JOSEPH MBELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9811 MALLARD DR STE 207, LAUREL, MD 20708-3199
(240) 360-6582
Mailing address
7307 GOSLING PL, BOWIE, MD 20720-4765
(240) 360-6582

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP1019062
DC

Other

Enumeration date
05/25/2022
Last updated
12/22/2023
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