Individual
ELIZABETH MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 E HIGHWAY 20 STE 207, NICEVILLE, FL 32578-7700
(850) 897-1177
Mailing address
159 RED MAPLE WAY, NICEVILLE, FL 32578-3746
(252) 626-3138
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA75408
FL
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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