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Individual

RICKY ALLEN NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1756 N NORTH RD, TWINING, MI 48766-9628
(989) 873-5499
Mailing address
1756 N NORTH RD, TWINING, MI 48766-9628
(989) 873-5499

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
11/21/2022
Last updated
11/21/2022
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