Individual
JENNIFER MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4295 10TH ST, RIVERSIDE, CA 92501-3111
(951) 533-9633
Mailing address
4295 10TH ST, RIVERSIDE, CA 92501-3111
(951) 533-9633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
43456
CA
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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