Individual
NELSEN WILLIAM YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
206 NEPTUNE STREET, SAN DIEGO, CA 92155-5136
(619) 537-3371
Mailing address
790 CAMINO DE LA REINA APT 360, SAN DIEGO, CA 92108-3270
(661) 718-9201
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/17/2017
Last updated
12/08/2023
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