Individual
ALANA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1107 OAK ST, MILTON, WA 98354-9234
(253) 508-2758
Mailing address
1107 OAK ST, MILTON, WA 98354-9234
(253) 508-2758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023125
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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