Individual
MRS. ENOLA MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA PHD
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01033
TX
Other
Enumeration date
05/10/2010
Last updated
06/24/2016
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