Individual
MEAGAN MARIAH MCNEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
304 WESLEY DR, WOOD RIVER, IL 62095-2266
(618) 258-7645
Mailing address
304 WESLEY DR, WOOD RIVER, IL 62095-2266
(618) 258-7645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043127439
IL
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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