Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY EMBALABALA
Active Sole ProprietorStudent (Health Education/Training) · ATHENS, IL
Registration Details
- NPI Number
- 1689133068
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2019 (7.1661496731904 yrs)
- Last Updated
- Mar 15, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
17586 KINCAID STATHENS, IL, 626137574Browse IL providers · Browse ZIP 62613
- Phone
- 2177417832
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.