Individual
TINA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 GRAHAM ST, MONTEVALLO, AL 35115-4171
(205) 253-2016
Mailing address
PO.BOX2121, ALABASTER, AL 35007
(205) 253-2016
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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