Individual
MR. BRIAN ALBERT NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1662 NORTHLAKE WAY NW, BREMERTON, WA 98312-1716
(360) 689-6254
Mailing address
1662 NORTHLAKE WAY NW, BREMERTON, WA 98312-1716
(360) 689-6254
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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