Individual
JAY NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5095 KINGS RD, SAINT LEONARD, MD 20685-3042
(240) 925-7756
Mailing address
PO BOX 134, BROOMES ISLAND, MD 20615-0134
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2792
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02792
HEARING AID DISPENSER LICENSE
MD
01
—
NONE
NONE
—
Enumeration date
02/26/2018
Last updated
06/16/2018
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