Individual
CAROL Y MCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ADMINISTRATION RD, BRIDGEWATER, MA 02324-3230
(508) 279-8402
Mailing address
20 BIANCA RD, DUXBURY, MA 02332-3508
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
MA.94009
MA
Other
Enumeration date
02/15/2007
Last updated
06/28/2013
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