Individual
MEGAN MCCLENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5500 TABOR AVE, PHILADELPHIA, PA 19120-2124
(215) 245-2131
Mailing address
6132 LEBANON AVE, PHILADELPHIA, PA 19151-4508
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN303529
PA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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