MOSUNMOLA SANDRA LAKE

BERWYN HEIGHTS, MD
NPI1275050288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R191756)
Enumeration Date2017-08-29
Last Update Date2022-07-21
Business Address
MOSUNMOLA SANDRA LAKE DNP, PMHNP-BC
6215 GREENBELT RD STE 107
BERWYN HEIGHTS, MD 20740-2355
Phone number: 301-272-1558
Mailing Address
MOSUNMOLA SANDRA LAKE DNP, PMHNP-BC
10801 GREEN ASH LN
BELTSVILLE, MD 20705-3851
Phone number: 301-263-4890