Individual
COLLEEN MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 HWY 49 N, MARIPOSA, CA 95338
(209) 966-3689
Mailing address
5300 HWY 49 N, MARIPOSA, CA 95338
(209) 966-3689
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
152524
CA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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