Individual
JAMIE NOEL NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 4TH AVE, HUNTINGTON, WV 25701-1219
(304) 525-5691
Mailing address
948 10TH AVE # 1, HUNTINGTON, WV 25701-3315
(681) 214-0484
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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