Individual
NIEJA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 RISING HILL RD, POMONA, CA 91766-4918
(951) 289-0413
Mailing address
56 RISING HILL RD, POMONA, CA 91766-4918
(951) 289-0413
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
35081
CA
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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