Individual
SANDY A NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5044 CHARLO DR, LAS VEGAS, NV 89131-3674
(702) 608-6301
Mailing address
5044 CHARLO DR, LAS VEGAS, NV 89131-3674
(702) 608-6301
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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