Individual
MRS. SUSAN LEE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 UNIVERSITY BLVD W, SILVER SPRING, MD 20902-1905
(301) 933-6680
Mailing address
1900 LYTTONSVILLE RD APT 409, SILVER SPRING, MD 20910-2236
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MD
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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