Individual
ANGELIQUE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1675 GARDEN ST, CHARLESTON, SC 29407-6908
(843) 641-8623
Mailing address
1675 GARDEN ST, CHARLESTON, SC 29407-6908
(843) 641-8623
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4504
FL
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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