Individual
RICHARD NELSON MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2345 CHESTERFIELD AVE, CHARLESTON, WV 25304-1062
(304) 343-2047
Mailing address
2345 CHESTERFIELD AVE, CHARLESTON, WV 25304-1062
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35425
WV
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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