Individual
MS. MELISSA BERNETTA MCCLARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 EAST ST, NEW HAVEN, CT 06511-5838
(203) 562-2101
(203) 562-2102
Mailing address
123 DIVISION ST APT 2, ANSONIA, CT 06401-2137
(203) 850-4288
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34496
CT
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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