Individual
MRS. NICOLE MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 BOUNDARY AVE APT 3, ANCHORAGE, AK 99504-1446
(907) 250-8539
Mailing address
8100 BOUNDARY AVE APT 3, ANCHORAGE, AK 99504-1446
(907) 250-8539
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
646186
AK
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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