Individual
MICHAEL SHAUN MCCLANTOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
USCG CG1122, 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
(202) 475-5180
Mailing address
USCG CG1122, 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
(202) 475-5180
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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