Individual
DENNIS PERNELL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9448 MARLFIELD RD, GLOUCESTER, VA 23061-3322
(804) 815-9277
Mailing address
9448 MARLFIELD RD, GLOUCESTER, VA 23061-3322
(804) 815-9277
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T67-58-30-0166
VA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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