Individual
MR. CHRISTOPHER MATTHEW MCNEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34860 LAKESHORE BLVD, APT H, EASTLAKE, OH 44095-2090
(440) 749-6403
Mailing address
34860 LAKESHORE BLVD, APT H, EASTLAKE, OH 44095-2090
(440) 749-6403
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.140458-M-IV
OH
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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