Individual
LELA RENAE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 WESLEY AVE, MUSKEGON, MI 49442-2100
(231) 220-2344
Mailing address
1077 AMITY AVE, MUSKEGON, MI 49442-3710
(231) 286-5327
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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