Individual
MASORAYA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 COLLEGE ST, BEAUMONT, TX 77701-4612
(409) 730-2031
(409) 813-2710
Mailing address
3406 COLLEGE ST, BEAUMONT, TX 77701-4612
(409) 730-2031
(409) 813-2710
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
583244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/21/2014
Last updated
03/26/2014
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