Provider Demographics
NPI:1972808475
Name:NEYON, JAIMILA (DC)
Entity type:Individual
Prefix:
First Name:JAIMILA
Middle Name:
Last Name:NEYON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6579 SHATTUCK AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1082
Mailing Address - Country:US
Mailing Address - Phone:510-547-1140
Mailing Address - Fax:
Practice Address - Street 1:6579 SHATTUCK AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1082
Practice Address - Country:US
Practice Address - Phone:510-547-1140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24950111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition