Individual
MARY JEAN MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 AVINSHIRE PL, WAKE FOREST, NC 27587-5372
(904) 556-1754
Mailing address
2216 AVINSHIRE PL, WAKE FOREST, NC 27587-5372
(904) 556-1754
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17899
NC
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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