Individual
EBISINDOR VICTORIA AWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5429 REISTERSTOWN RD, BALTIMORE, MD 21215-4404
(443) 869-6787
Mailing address
2405 E MONUMENT ST, BALTIMORE, MD 21205-2542
(410) 276-4092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29811
MD
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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