Individual
MR. DEMETRIUS NELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2101 HAYES RD APT 2007, HOUSTON, TX 77077-6914
(281) 857-1710
Mailing address
2101 HAYES RD APT 2007, HOUSTON, TX 77077-6914
(281) 857-1710
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
56130
MS
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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