Individual
MS. PAULINE ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454827
ADA REGISTRATION NUMBER
CA
Enumeration date
05/25/2007
Last updated
07/08/2007
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