Individual
BRENDA ANNETTE MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 BRIDGE ST, CLARKSTON, WA 99403-2332
(509) 780-8840
Mailing address
3031 MAYFAIR DR, LEWISTON, ID 83501-4269
(509) 552-7157
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-565
ID
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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