Individual
TONYA MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 SIROCCO CT, FALLING WATERS, WV 25419-1490
(202) 725-3519
Mailing address
13 SIROCCO CT, FALLING WATERS, WV 25419-1490
(202) 725-3519
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
WV
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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