Individual
WENDY SUE NELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13596 GOLD COUNTRY DR, PENN VALLEY, CA 95946-9013
(530) 263-2971
Mailing address
12003 PINE CONE CIR, GRASS VALLEY, CA 95945-8722
(530) 263-2971
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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