Individual
TERRY BLAKE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2914 W MAIN ST, VISALIA, CA 93291
(559) 627-2849
Mailing address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0000543
CO
213E00000X
Podiatrist
Primary
E5347
CA
Other
Enumeration date
09/16/2014
Last updated
05/31/2018
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