Individual
LESLEY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
814 10TH ST, DAVIS, CA 95616-2282
(530) 750-9609
(530) 753-6142
Mailing address
814 10TH ST, DAVIS, CA 95616-2282
(530) 750-9609
(530) 753-6142
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0373
CA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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