Individual
AVERY GLENN MCCLENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 RICHARDSON RD, CRAWFORDVILLE, FL 32327-5442
(850) 408-6910
Mailing address
12 RICHARDSON RD, CRAWFORDVILLE, FL 32327-5442
(850) 408-6910
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
237520
FL
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
About Stedi
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