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Individual

DR. THEODORA J NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7910 FROST ST STE 230, SAN DIEGO, CA 92123-2776
(858) 246-0053
(619) 496-9257
Mailing address
7910 FROST ST STE 230, SAN DIEGO, CA 92123-2776
(858) 246-0053
(858) 496-9257

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G75021
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
G75021
CA

Other

Enumeration date
09/28/2006
Last updated
04/17/2020
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