Individual
HAILEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 BORDER AVE, TORRANCE, CA 90501-3606
(844) 443-6246
Mailing address
1907 BORDER AVE, TORRANCE, CA 90501-3606
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA63345
CA
Other
Enumeration date
02/22/2019
Last updated
08/07/2025
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