Individual
JAY DONALD MCCLENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AOCAD
Contact information
Practice address
1911 HILLANDALE RD, UNIT 1110, DURHAM, NC 27705-2666
(919) 383-1205
Mailing address
1911 HILLANDALE RD, UNIT 1110, DURHAM, NC 27705-2666
(919) 383-1205
Taxonomy
Speciality
Code
Description
License number
State
229N00000X
Anaplastologist
Primary
—
—
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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