Individual
MS. MARISA LARAE NEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3581 PALMER DR STE 602, CAMERON PARK, CA 95682-8238
(530) 672-7000
Mailing address
3581 PALMER DR STE 602, CAMERON PARK, CA 95682-8238
(530) 672-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA66873
CA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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