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Individual

WENDELL NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7740 PLANTATION BAY DR APT 1004, JACKSONVILLE, FL 32244-5188
(770) 296-1022
Mailing address
7740 PLANTATION BAY DR APT 1004, JACKSONVILLE, FL 32244-5188
(770) 296-1022

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
N425898760561
FL

Other

Enumeration date
09/29/2022
Last updated
09/29/2022
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