Individual
MR. BRIAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1200 N MAIN ST STE 650, SANTA ANA, CA 92701-3613
(714) 824-8140
(714) 824-8142
Mailing address
1200 N MAIN ST STE 650, SANTA ANA, CA 92701-3613
(714) 824-8140
(714) 824-8142
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN253162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235274804
—
CA
Enumeration date
02/12/2018
Last updated
02/12/2018
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