Individual
DANIEL LEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1445 30TH AVE, LONGVIEW, WA 98632-2707
(360) 749-1136
Mailing address
1445 30TH AVE, LONGVIEW, WA 98632-2707
(360) 749-1136
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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