Individual
WANDA GAYLE MCCLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
633 THOMPSON LN, NASHVILLE, TN 37204-3616
(615) 460-4430
(615) 460-4433
Mailing address
633 THOMPSON LN, NASHVILLE, TN 37204-3616
(615) 460-4430
(615) 460-4433
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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