Individual
DANYALE RENEE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1814 WELLNESS LN, NEW PORT RICHEY, FL 34655-5357
(813) 450-8989
Mailing address
5118 BELLE CHASE CIR, TAMPA, FL 33634-4253
(937) 479-1904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4885
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/14/2015
Last updated
03/10/2021
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