Individual
ROSEANN J NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 S 500 W STE 300, WOODS CROSS, UT 84010-8104
(801) 690-5908
Mailing address
1195 N 200 W, BOUNTIFUL, UT 84010-6803
(801) 690-5908
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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