Individual
MRS. TANESHIA MCCLEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2513 25TH STREET ENSLEY, BIRMINGHAM, AL 35208-2115
(205) 586-7732
Mailing address
2513 25TH STREET ENSLEY, BIRMINGHAM, AL 35208-2115
(205) 586-7732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-066315
AL
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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