Individual
CHANTEL LOUISE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, ACSM
Contact information
Practice address
722 N MONTESANO STREET, WESTPORT, WA 98595
(360) 500-9970
Mailing address
PO BOX 968, WESTPORT, WA 98595-0968
(360) 500-9970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016401
WA
Other
Enumeration date
09/30/2008
Last updated
01/21/2011
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