Individual
NELSON R MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 CATHERINE LN, SUITE G, GRASS VALLEY, CA 95945-5719
(530) 477-0931
(530) 477-0934
Mailing address
PO BOX 2618, GRASS VALLEY, CA 95945-2618
(530) 477-0931
(530) 477-0934
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G53915
CA
Other
Enumeration date
12/22/2006
Last updated
04/12/2012
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