Individual
MR. EDWARD F NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT, IDC
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-5226
Mailing address
311 4TH AVE, APR 316, SAN DIEGO, CA 92101-6967
(901) 270-5200
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
06/10/2014
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