Individual
NELSA M ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
200 MERCY CIR, OCEANSIDE, CA 92055
(760) 763-2838
Mailing address
1901 WELLINGTON LN APT 184, VISTA, CA 92081-3900
(407) 583-9997
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA51799
FL
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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