Individual
PAMELA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19709 FIRST AVE, STEVINSON, CA 95374-9614
(209) 345-9659
Mailing address
19709 FIRST AVE, STEVINSON, CA 95374-9614
(209) 345-9659
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
397665
CA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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