Individual provider · Type 1 NPI

Shundrea Neely, HAIR LOSS SPECIALIST

Prosthetics Case Management · Fairview Heights, IL

NPI number 1114582368 Active

Practice location

10301 Lincoln Trl
Fairview Heights, IL 62208-1829

Mailing address

2 Montclair Dr
Fairview Heights, IL 62208-1627

Specialties and licenses

TaxonomyCodeLicense
Prosthetics Case Management Primary 1744P3200XNone listed

Prosthetics Case Management: A case manager who provides services for patients with prosthetics.

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About NPI 1114582368

Shundrea Neely, HAIR LOSS SPECIALIST's National Provider Identifier is 1114582368, issued on May 3, 2019. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Fairview Heights, IL. The record was last updated on May 3, 2019.