Individual
DR. NELSON HECTOR DE JESUS
Active
Individual
DR. NELSON HECTOR DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1806
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0604540
BCBS
AZ
Enumeration date
08/30/2006
Last updated
11/21/2016
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