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Individual

MS. VIOLA NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PCA,HHA

Contact information

Practice address
10714 WATSON PL, JAMAICA, NY 11433-2511
(929) 268-6715
(347) 561-9157
Mailing address
10714 WATSON PL, JAMAICA, NY 11433-2511
(929) 268-6715
(347) 561-9157

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
Primary

Other

Enumeration date
05/23/2013
Last updated
05/23/2013
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