Individual
EVAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(660) 730-0276
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2022
Last updated
04/17/2022
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