Individual
KELVIN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3446 SISKIYOU CIR, RIVERSIDE, CA 92503-4664
(951) 833-5050
Mailing address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8632
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
787093
CA
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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