Individual
GABRIEL MARTIN SEVALIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 SUGAR PINE CT, BURTONSVILLE, MD 20866-1153
(240) 421-2538
Mailing address
4211 SUGAR PINE CT, BURTONSVILLE, MD 20866-1153
(240) 421-2538
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R173970
MD
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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