Individual
MS. JUDITH LUCILLE NEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1515 GREENWOOD AVE, JACKSON, MI 49203
(517) 787-5710
Mailing address
1515 GREENWOOD AVE, JACKSON, MI 49203
(517) 787-5710
(517) 787-9855
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703041502
MI
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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