Individual
BREANNA MCLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1219 BROAD ST, DURHAM, NC 27705-3577
(413) 348-1944
Mailing address
8111 HARRISBURG LN, RALEIGH, NC 27606-7414
(413) 348-1944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
36002446A
IN
2255A2300X
Athletic Trainer
Primary
LAT-3583
NC
Other
Enumeration date
08/28/2016
Last updated
03/17/2018
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