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Individual

MISS ANDREA L MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MTBC

Contact information

Practice address
4601 LOCUST LN, SUITE 202, HARRISBURG, PA 17109-4444
(717) 526-2111
(717) 526-2117
Mailing address
4601 LOCUST LN, SUITE 202, HARRISBURG, PA 17109-4444
(717) 526-2111
(717) 526-2117

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
08268
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225A00000X
PA
Enumeration date
01/15/2008
Last updated
01/15/2008
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