Individual
MRS. ANNIE RUTH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
922 E ADAMS BLVD APT 4, LOS ANGELES, CA 90011-5539
(323) 590-8139
Mailing address
922 E ADAMS BLVD APT 4, LOS ANGELES, CA 90011-5539
(323) 590-8139
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN235923
CA
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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