Individual
CHIQUITA MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 COURT SQ, CARTHAGE, MS 39051-4114
(601) 900-8524
Mailing address
54 W MCCLENDON LN, FOREST, MS 39074-7745
(601) 900-8524
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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