Individual
MR. SHAWNTANA ORLANDO NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7676 JACKSON DR, SUITE# 7, SAN DIEGO, CA 92119-1500
(619) 339-4148
(619) 591-9373
Mailing address
7676 JACKSON DR, SUITE# 7, SAN DIEGO, CA 92119-1500
(619) 339-4148
(619) 591-9373
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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