Most Relevant Information
Provider Data
| NPI Number: | 1003423385 |
| Provider Name: | GLADYS TOMBISE EKEMA MOSASO PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | R210280 |
Most Important Dates
| Enumeration Date: | 09/30/2020 |
| Last Updated: | 10/23/2024 |
Provider Practice Location
7120 MINSTREL WAY
SUITE 203
COLUMBIA
MD
210455292
Practice Location Phone/Fax
| Phone: | 5089795557 |
| Fax: |
Provider Mailing Location
9611 MANOR OAKS VW
UPPER MARLBORO
MD
207723194
Provider Mailing Phone/Fax
| Phone: | 2402804518 |
| Fax: |