Individual
MARIA GRACE NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2344 STARLING AVE, MCKINLEYVILLE, CA 95519-4078
(707) 840-0248
Mailing address
2344 STARLING AVE, MCKINLEYVILLE, CA 95519-4078
(707) 840-0248
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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