Individual
JOANNA KLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8667
Mailing address
4528 FAIT AVE, BALTIMORE, MD 21224-4405
(410) 900-4598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R233296
MD
Other
Enumeration date
09/05/2023
Last updated
10/03/2023
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