Provider / Organization | NPI | Date Certified |
---|---|---|
ERNEST DEAN CRAVEN-NEELEY | 1245857473 | 2020-07-04 |
Ernest Dean Craven-neeley is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1245857473. Registration indicates Ernest Dean Craven-neeley is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Ernest Dean Craven-neeley |
Practice Office Address | 1803 W MARCH LN STE C STOCKTON, CA US |
Practice Office Telephone | 2096365353 |
Mailing Address | 1803 W MARCH LN STE C STOCKTON, CA 952076414 US |
Business Telephone | 2096365353 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |