Individual
JEAN A NEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1220 WASHINGTON ST, CALISTOGA, CA 94515-1450
(707) 942-4674
(707) 942-0745
Mailing address
1220 WASHINGTON ST, CALISTOGA, CA 94515-1450
(707) 942-4674
(707) 942-0745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9321T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0093210
—
CA
Enumeration date
02/01/2006
Last updated
08/07/2014
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