Individual
MS. MELISSA BRIANNE MCCLENAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
(208) 639-4901
Mailing address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
(208) 639-4901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA935
ID
Other
Enumeration date
09/30/2011
Last updated
02/22/2021
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