Provider Demographics
NPI:1083309314
Name:ARREYMBI, GABRIEL AGBOR
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:AGBOR
Last Name:ARREYMBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11337 DRUMSHEUGH LN UPPR MARLBORO
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5749
Mailing Address - Country:US
Mailing Address - Phone:614-592-8199
Mailing Address - Fax:
Practice Address - Street 1:11337 DRUMSHEUGH LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-5749
Practice Address - Country:US
Practice Address - Phone:614-592-8199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator