Individual
TRACIE SHIRRELLE GAMBRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3029 WINDSOR AVE, BALTIMORE, MD 21216-2751
(443) 898-2180
(410) 225-3230
Mailing address
3029 WINDSOR AVE, BALTIMORE, MD 21216-2751
(443) 898-2180
(410) 225-3230
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
30AL3873
MD
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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