Individual
JERMAINE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8807 OLD COLONY WAY APT 2C, ALEXANDRIA, VA 22309-1564
(216) 774-4871
Mailing address
8807 OLD COLONY WAY APT 2C, ALEXANDRIA, VA 22309-1564
(216) 774-4871
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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