Individual
MELISSA MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
554 90TH ST SW, EDWARD GONZALES ES, ALBUQUERQUE, NM 87121-7710
(505) 831-6214
Mailing address
554 90TH ST SW, EDWARD GONZALES ES, ALBUQUERQUE, NM 87121-7710
(505) 831-6214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2583
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G 5011
—
NM
Enumeration date
03/12/2007
Last updated
07/09/2007
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