Individual
JO GLENNA GAERLAN BANANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
503 ROBERT GRANT AVENUE, SILVER SPRING, MD 20910-0000
(301) 319-7581
Mailing address
24514 HANSON RD, GAITHERSBURG, MD 20882-3504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R176865
MD
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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