Individual
ELAINE MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 W RAYMOND ST, COMPTON, CA 90220-4458
(310) 631-2595
Mailing address
PO BOX 47875, LOS ANGELES, CA 90047-0875
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
423813
CA
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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