Individual
CHAD NILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
210 KRUSE AVE, MONROVIA, CA 91016-4831
(310) 999-1805
Mailing address
210 KRUSE AVE, MONROVIA, CA 91016-4831
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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