Most Relevant Information
Provider Data
| NPI Number: | 1003406794 |
| Provider Name: | DESMONA D NEAL |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | 50189158 |
Most Important Dates
| Enumeration Date: | 01/26/2021 |
| Last Updated: | 01/29/2021 |
Provider Practice Location
913 DRESDEN AVE
LOUISVILLE
KY
402152918
Practice Location Phone/Fax
| Phone: | 2709962301 |
| Fax: |
Provider Mailing Location
913 DRESDEN AVE
LOUISVILLE
KY
402152918
Provider Mailing Phone/Fax
| Phone: | 2709962301 |
| Fax: |