Individual
MCCLOVIS AMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6904 ANDERSONS WAY APT 201, LAUREL, MD 20707-6964
(667) 299-5285
Mailing address
6904 ANDERSONS WAY APT 201, LAUREL, MD 20707-6964
(667) 299-5285
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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