Individual
MRS. JACELLE LORRAINE NEILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2210 NORTH ELDORADO AVENUE, KLAMATH FALLS, OR 97601
(541) 883-1030
(541) 884-2338
Mailing address
4836 ONYX AVENUE, KLAMATH FALLS, OR 97603
(541) 883-1030
(541) 884-2338
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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