Individual
JUDY R MCCLARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PH.D., CLNC
Contact information
Practice address
140 THRASHER RD, CHESAPEAKE, VA 23320-4726
(757) 436-2326
(757) 410-0891
Mailing address
140 THRASHER RD, CHESAPEAKE, VA 23320-4726
(757) 436-2326
(757) 410-0891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001111488
VA
163WP0000X
Pain Management Registered Nurse
0001111488
VA
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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