Cosette Neely
Technician, Other in Citrus Heights, CA. Individual provider (NPI-1).
NPI number1669958385
StatusActive
Last updated in NPPESJul 16, 2018
Details
- NPI
- 1669958385
- Entity type
- Individual (NPI-1)
- Name
- Cosette Neely
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2018
- Last updated
- Jul 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
6400 Tupelo DrCitrus Heights, CA 95621-1741
Phone 916-729-3098
Mailing address
217 Ivywood DrWalnut Creek, CA 94598-1027
Phone 530-574-1370
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