Individual
DR. JEROM NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1124 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 434-1200
(575) 437-3947
Mailing address
1124 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 434-1200
(575) 437-3947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
673
NM
152W00000X
Optometrist
ODP-100286
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2013
Last updated
07/22/2016
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