Individual
MARISSA JANE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8704 LA ENTRADA AVE, WHITTIER, CA 90605-1608
(562) 322-6574
Mailing address
8704 LA ENTRADA AVE, WHITTIER, CA 90605-1608
(562) 322-6574
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95013405
CA
Other
Enumeration date
01/18/2020
Last updated
01/18/2020
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