Individual
RYAN ANDREW NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, DIPABPM
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-2800
(909) 825-7084
Mailing address
2140 MENTONE BLVD SPC 84, MENTONE, CA 92359-9688
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A187424
CA
Other
Enumeration date
05/26/2020
Last updated
12/21/2024
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