Individual
MARILYN NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 APPLETON RD, REXFORD, NY 12148-1308
(518) 371-5486
Mailing address
16 APPLETON RD, REXFORD, NY 12148-1308
(518) 371-5486
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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