Individual
MARIQEZ MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
491 GEORGESVILLE RD, COLUMBUS, OH 43228-2420
(614) 618-5000
Mailing address
1165 WAGER ST, COLUMBUS, OH 43206-2835
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
TS34366
OH
Other
Enumeration date
10/05/2024
Last updated
10/05/2024
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