Individual
CAROLYN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA,CMT, CMI, CASL
Contact information
Practice address
1803 S GREEN ST, LONGVIEW, TX 75602-3311
(903) 234-0003
Mailing address
1803 S GREEN ST, LONGVIEW, TX 75602-3311
(903) 234-0003
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
NA00661294
TX
Other
Enumeration date
07/04/2014
Last updated
07/04/2014
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