Individual
CHRISTINE ALICIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 E FOOTHILL BLVD STE 103, UPLAND, CA 91786-4070
(909) 981-8904
Mailing address
14619 DECOY LN, FONTANA, CA 92336-0413
(909) 743-1809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018675
CA
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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