Individual
FRED LEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1706 LAWSON ST, WHEELERSBURG, OH 45694-9011
(740) 574-5227
Mailing address
1706 LAWSON ST, WHEELERSBURG, OH 45694-9011
(740) 574-5227
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
3099472
OH
Other
Enumeration date
12/17/2020
Last updated
12/23/2020
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