Individual
TERESA A NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33462 NIEBLOCK LN, CRESWELL, OR 97426-9109
(541) 844-5657
Mailing address
33462 NIEBLOCK LN, CRESWELL, OR 97426-9109
(541) 844-5657
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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