Individual
BREANNE GARCIA-MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 STAGECOACH RD SE, RIO RANCHO, NM 87124-3703
(505) 610-6549
Mailing address
636 STAGECOACH RD SE, RIO RANCHO, NM 87124-3703
(505) 610-6549
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7486
NM
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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