Individual
ALYSSA JEAN NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1791
(952) 442-2191
Mailing address
3712 REGENT AVE N, ROBBINSDALE, MN 55422-2034
(651) 271-1417
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
10520
MN
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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