Individual
NEIL MOHAN LALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HCAC
Contact information
Practice address
23406 97TH PL W, EDMONDS, WA 98020-5621
(206) 533-9846
Mailing address
23406 97TH PL W, EDMONDS, WA 98020-5621
(206) 533-9846
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
753425
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
753425
—
WA
Enumeration date
05/20/2018
Last updated
05/20/2018
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