Individual
ALVIN L NEAL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2115 PENISTON ST, NEW ORLEANS, LA 70115-5817
(504) 250-9317
Mailing address
2115 PENISTON ST, NEW ORLEANS, LA 70115-5817
(504) 250-9317
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007668428
—
LA
Enumeration date
03/02/2021
Last updated
03/02/2021
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