Provider Demographics
NPI:1710104674
Name:NEY, MAGGIE ANN (ND)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:ANN
Last Name:NEY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:934 GLENHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-2201
Mailing Address - Country:US
Mailing Address - Phone:310-454-8914
Mailing Address - Fax:310-717-3753
Practice Address - Street 1:520 ARIZONA AVE
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-1408
Practice Address - Country:US
Practice Address - Phone:310-451-8880
Practice Address - Fax:310-451-8803
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND200175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath