Individual
TRAVIS L NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
433 N ARIZONA AVE, PRESCOTT, AZ 86301-2605
(928) 420-5379
Mailing address
433 N ARIZONA AVE, PRESCOTT, AZ 86301-2605
(928) 420-5379
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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