Individual
LETOSHA MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
7324 SW FREEWAY, SUITE 1550, SUITE 250, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Mailing address
7324 SW FREEWAY, SUITE 1550, SUITE 250, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
130617
IL
246ZC0007X
Surgical Assistant
147819
IL
246ZS0410X
Surgical Technologist
130617
IL
363AS0400X
Surgical Physician Assistant
Primary
238.000.413
IL
Other
Enumeration date
02/03/2012
Last updated
10/04/2018
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