Individual
CHARLES B NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9343 TECH CENTER DR, SACRAMENTO, CA 95826-2563
(916) 388-6304
Mailing address
3614 CAMBRIDGE RD, CAMERON PARK, CA 95682-9019
(916) 764-7832
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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