Individual
CHARLOTTE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15465 OAKFIELD ST, DETROIT, MI 48227-1533
(313) 633-5950
Mailing address
15465 OAKFIELD ST, DETROIT, MI 48227-1533
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704114075
MI
Other
Enumeration date
07/07/2014
Last updated
02/24/2016
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