Individual
KASEY MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 PRESTON ST, LUFKIN, TX 75901-4677
(936) 635-7657
Mailing address
355 PRESTON ST, LUFKIN, TX 75901-4677
(936) 635-7657
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
324200
TX
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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