Individual
PAMELA R NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
(805) 981-8864
Mailing address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
(805) 981-8864
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPPS-WUIFAJ
CA
Other
Enumeration date
07/24/2012
Last updated
02/22/2024
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