Mary Embalabala
Mary Embalabala is a Student in an Organized Health Care Education/Training Program in Athens, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
17586 Kincaid StAthens, IL 62613-7574
Phone: (217) 741-7832
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1689133068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2019 |
| Last updated in NPPES | March 15, 2019 |
| Mailing address | 17586 Kincaid St, Athens, IL 62613-7574 |