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1336859610
ERNEST MASSALLA
SILVER SPRING, MD
NPI
1336859610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R224711)
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
Mr. ERNEST MASSALLA
4005 POSTGATE TER APT 102
SILVER SPRING, MD 20906-6009
Phone number: 240-277-6216
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Mailing Address
Mr. ERNEST MASSALLA
4005 POSTGATE TER APT 102
SILVER SPRING, MD 20906-6009
Phone number: 240-277-6216
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