Individual
MICHAEL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 HAWTHORNE DR, WEST MILTON, OH 45383-1101
(937) 524-1880
Mailing address
18 HAWTHORNE DR, WEST MILTON, OH 45383-1101
(937) 524-1880
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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