Individual
MS. SUSAN H. MCLEARAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
2010 E BUENA VISTA AVE, VISALIA, CA 93292-2365
(559) 733-2355
(559) 625-4578
Mailing address
2010 E BUENA VISTA AVE, VISALIA, CA 93292-2365
(559) 733-2355
(559) 625-4578
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 82
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147060
DELTA DENTAL
CA
01
—
522590
MEDI-CAL AND CCS/GHPP
CA
Enumeration date
07/17/2005
Last updated
07/08/2007
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