Individual
CRYSTAL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
276 SOUND BEACH AVE FL 2, OLD GREENWICH, CT 06870-1621
(541) 390-8649
Mailing address
1686 W ANTLER AVE, REDMOND, OR 97756-1917
(541) 390-8649
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
332546
OR
Other
Enumeration date
09/09/2022
Last updated
01/27/2023
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