Individual
CARRIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
387 N K ST, TULARE, CA 93274-4007
(559) 687-7351
Mailing address
387 N K ST, TULARE, CA 93274-4007
(559) 687-7351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
519450
CA
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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