Individual
CHRISTINE MAE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
6516 W BRADSHAW DR, PINE, AZ 85544-5083
(623) 999-7313
Mailing address
14623 W PLUM RD, SURPRISE, AZ 85387-7062
(162) 399-9731
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
CRT-06285
AZ
2471C3401X
Computed Tomography Radiologic Technologist
Primary
CTCT-71131
AZ
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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