Individual
MS. CARMALITA MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8225 S. 59TH AVE, LAVEEN, AZ 85339
(602) 764-9016
Mailing address
625 W MCKELLIPS RD, #293, MESA, AZ 85201-1245
(602) 405-5775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP005545
AZ
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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