Individual
JUSTIN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 ROLLER WAY, MAYVILLE, MI 48744-8636
(989) 683-0539
Mailing address
324 ROLLER WAY, MAYVILLE, MI 48744-8636
(989) 683-0539
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
AS790418538
MI
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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