Individual
CARL FRANKLIN NEVELS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1487 W 4TH ST, YUMA, AZ 85364-1919
(928) 783-8929
Mailing address
1487 W 4TH ST, YUMA, AZ 85364-1919
(928) 783-8929
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
471628
AZ
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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