Individual
JASON ANTONIO NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10089 FOLSOM BLVD STE A, RANCHO CORDOVA, CA 95670-1935
(916) 366-6531
(916) 366-6532
Mailing address
10089 FOLSOM BLVD STE A, RANCHO CORDOVA, CA 95670-1935
(916) 366-6531
(916) 366-6532
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
756724
CA
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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