Provider Demographics
NPI:1063793818
Name:MCCLAIN, MARGUERITE MAE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:MARGUERITE
Middle Name:MAE
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:212 SAN JOSE ST STE 301
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3928
Mailing Address - Country:US
Mailing Address - Phone:831-759-3289
Mailing Address - Fax:831-758-1565
Practice Address - Street 1:212 SAN JOSE ST STE 301
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3928
Practice Address - Country:US
Practice Address - Phone:831-759-3289
Practice Address - Fax:831-758-1565
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ4926363A00000X
MT117353363A00000X
CA57834363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant