Individual
JODYANN MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
770 E 221ST ST APT 2F, BRONX, NY 10467-5156
(862) 267-6607
Mailing address
599 BROADWAY APT 4D, PATERSON, NJ 07514-1951
(862) 267-6607
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338321
NY
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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