Individual
JENNIFER NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 W MAIN ST, DOTHAN, AL 36305-1054
(601) 339-9918
Mailing address
7455 W WASHINGTON AVE STE 302, LAS VEGAS, NV 89128-4340
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246ZE0600X
NEUROMONITORING
—
Enumeration date
06/13/2022
Last updated
06/13/2022
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