Individual
BRYAN C NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 3RD ST NE, DEVILS LAKE, ND 58301-3231
(701) 351-4363
Mailing address
PO BOX 104, DEVILS LAKE, ND 58301-0104
(701) 351-4363
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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