Individual
MS. RAQUEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1552 DAKOTA AVE S, HURON, SD 57350-4022
(605) 352-9498
Mailing address
38677 197TH ST, WOLSEY, SD 57384-7905
(605) 461-4324
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0658
SD
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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