Individual
ALICIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 THE CITY DR S, ORANGE, CA 92868-3205
(714) 834-6620
Mailing address
301 THE CITY DR S, ORANGE, CA 92868-3205
(714) 834-6620
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
D8641543
CA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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