Individual
RIHANNAN M MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 275-3222
(239) 278-9058
Mailing address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 275-3222
(239) 278-9058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S205054064
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S205054064
DRIVERS LICENSE
MO
Enumeration date
10/24/2012
Last updated
10/24/2012
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