Individual
MELISSA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5663 W ELDORA CIR, HERRIMAN, UT 84096-7258
(385) 557-4153
Mailing address
PO BOX 3024, SALT LAKE CITY, UT 84110-3024
(385) 557-4153
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
07/14/2016
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