Individual
DORA BLAIR NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
761 JOHNSONBURG RD, SAINT MARYS, PA 15857-3483
(814) 512-7126
Mailing address
326 TERRA COTTA RD, JOHNSONBURG, PA 15845-1050
(814) 512-7126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065568
PA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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