Individual
LAURA MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 ELMWOOD ST, PORT HURON, MI 48060-2758
(810) 357-4985
Mailing address
2316 ELMWOOD ST, PORT HURON, MI 48060-2758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704344381
MI
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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