Individual
AMY J MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
202 BOLT HILL RD, ELIOT, ME 03903-1932
(603) 828-5188
(207) 703-0454
Mailing address
PO BOX 1102, PORTSMOUTH, NH 03802-1102
(603) 828-5188
(207) 703-0454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
555
NH
133V00000X
Registered Dietitian
Primary
DI935
ME
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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