JOHANNA CATHERINE MCKENNA

GAITHERSBURG, MD
NPI1265049324
Former NameJOHANNA CATHERINE LAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R220471)
Enumeration Date2020-09-23
Last Update Date2021-02-23
Business Address
JOHANNA CATHERINE MCKENNA CRNP
317 E DIAMOND AVE STE C
GAITHERSBURG, MD 20877-5327
Phone number: 240-246-1111
Mailing Address
JOHANNA CATHERINE MCKENNA CRNP
2802 URBANA DR
SILVER SPRING, MD 20906-5033
Phone number: 603-630-4454
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