Individual
STEPHEN ALEXANDER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110-4907
(619) 523-8121
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
(619) 560-7543
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373710
—
CA
Enumeration date
12/22/2020
Last updated
06/14/2022
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