Individual
CONNIE MCCLARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
203 HEWITT ST, MCCALL, ID 83638
(208) 634-1400
(208) 634-4044
Mailing address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 634-1400
(208) 634-4044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-16879
ID
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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