Individual
MR. DOUGLAS EVANS NELSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5715 S BROADWAY, LOS ANGELES, CA 90037-4131
(323) 948-0444
Mailing address
5715 S BROADWAY, LOS ANGELES, CA 90037-4131
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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