Individual
DR. JASON LYNN NELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 PALMER DR, SUITE 201, CAMERON PARK, CA 95682-8276
(530) 626-9488
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-9488
(530) 748-0320
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A125671
CA
Other
Enumeration date
07/26/2007
Last updated
01/27/2014
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