Individual
MACKENZIE ELIZABETH-ROSE MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
771 CHESTNUT RD, EAST LANSING, MI 48824-3434
(517) 353-4412
Mailing address
634 E GREENLAWN AVE, LANSING, MI 48910-3307
(517) 643-4997
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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