Organization
KAROL D NELSON
Active
Organization
KAROL D NELSON
Active
Other names
Bras and Prosthesis
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAROL DAY NELSON NONE (OWNER)
(575) 769-3516
Entity
Organization
Contact information
Practice address
3713 LINKWOOD LN, CLOVIS, NM 88101
(575) 769-3516
(575) 769-3516
Mailing address
3713 LINKWOOD LN, CLOVIS, NM 88101
(575) 769-3516
(575) 769-3516
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
60044
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66709822
—
NM
Enumeration date
05/03/2007
Last updated
09/23/2008
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