Individual
MRS. CARLA MAE NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10948 N TUZIGOOT DR, CASA GRANDE, AZ 85222-7826
(602) 510-0337
Mailing address
10948 N TUZIGOOT DR, CASA GRANDE, AZ 85222-7826
(602) 510-0337
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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