Individual
MERSADES MCCLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5101 ALLENTOWN PIKE, TEMPLE, PA 19560-1211
(610) 374-7000
Mailing address
2111 HAMPDEN BLVD APT N11, READING, PA 19604-1344
(267) 644-6034
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN311098
PA
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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