Individual
DR. WILLIE B MVEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
413 COMMONWEALTH AVE, SUITE 3, CATONSVILLE, MD 21228-3044
(410) 719-0020
(410) 744-6755
Mailing address
3613 WASHINGTON AVE, WINDSOR MILL, MD 21244-3776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0055425
MD
Other
Enumeration date
02/07/2006
Last updated
06/24/2011
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