Individual
DR. LISA JUANITA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
802 BREWSTER AVE, SOUTH COUNTY MENTAL HEALTH, REDWOOD CITY, CA 94063-1510
(650) 363-4111
(650) 364-6927
Mailing address
802 BREWSTER AVE, SOUTH COUNTY MENTAL HEALTH, REDWOOD CITY, CA 94063-1510
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G84794
CA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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