Individual
LAVONNE MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187 OBERY CT, ANNAPOLIS, MD 21401-2539
(202) 367-1676
Mailing address
187 OBERY CT, ANNAPOLIS, MD 21401-2539
(202) 367-1676
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11493
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA
HHA
MD
Enumeration date
10/05/2015
Last updated
10/05/2015
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