Individual
MS. CANDYCE RENEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2139 GEORGIA AVE NW, WASHINGTON, DC 20059-0001
(202) 806-7540
Mailing address
2139 GEORGIA AVE NW, WASHINGTON, DC 20059-0001
(202) 806-7540
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
RN39703
DC
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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