Individual
MRS. ANNETTE MCCLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5419 LYNCH STORE RD, MEBANE, NC 27302-7580
(919) 920-3718
Mailing address
5419 LYNCH STORE RD, MEBANE, NC 27302-7580
(919) 920-3718
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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