Individual
MR. NEVILLE KEITH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
9990 COUNTY FARM RD, SUITE 6, RIVERSIDE, CA 92503-3542
(951) 509-2499
Mailing address
9825 MAGNOLIA AVE, SUITE B, PMB 322, RIVERSIDE, CA 92503-3562
(951) 509-2499
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
02/07/2017
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