Individual
BREANA MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-3737
Mailing address
512 S ROBINSON ST, BALTIMORE, MD 21224-3935
(240) 422-2988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R207684
MD
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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