Individual
MALIK LAMONT NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4051 CEDAR LN STE C, PORTSMOUTH, VA 23703-2003
(757) 335-4987
Mailing address
3208 STAMFORD RD, PORTSMOUTH, VA 23703-3732
(757) 232-6516
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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