Individual
JESSICA LEE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 WASHINGTON AVE, HUNTINGTON, WV 25701-1042
(304) 223-3200
Mailing address
3380 WOODVILLE DR, HUNTINGTON, WV 25701-5232
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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