Tisha Mcclellan

NPI #1740987437 in Branson, Missouri

Provider Information

NPI Number: 1740987437
Entity Type: Individual
Name: Tisha Mcclellan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Feb 13, 2023
Last Updated: Feb 13, 2023

Practice Location

Address: 1450 AIRPORT RD
City: Branson
State: Missouri
ZIP Code: 65616-7207
Phone: (417) 559-9860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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