Individual
MALLORY GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 W CAMDEN ST STE 500, BALTIMORE, MD 21201-7912
(667) 214-1757
Mailing address
5804 PECKING STONE ST, NEW MARKET, MD 21774-6866
(301) 401-2584
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000945
MD
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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