Individual
CONNEATHA MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 E 2ND ST, SANFORD, FL 32771-2101
(407) 875-3700
(407) 659-0411
Mailing address
5151 ADANSON ST, ORLANDO, FL 32804-1330
(407) 875-3700
(407) 659-0411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5187371
FL
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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