Individual
MARY NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-2267
(307) 754-7733
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-2267
(307) 754-7733
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
061
WY
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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