NPI 1376186536

Glance Avon Neal

Practitioner Attendant Care Provider Gloucester, VA

Practice location

Address: 3610 Cappahosic Rd, Gloucester, VA 23061-3313
Phone: (804) 210-1783

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1376186536
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2019
Record last updated: 21 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.