Individual
JUDY L MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
44109
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013292
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
03/28/2008
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