| NPI | 1780103424 |
|---|---|
| Former Name | TAYLOR JEAN MCCLELLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60793404) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WA LD60793404) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-10-31 |