MRS. Elaine Marie Nelson, COSMETIC THERAPIST

NPI #1164053385 in Mentor, Ohio

Provider Information

NPI Number: 1164053385
Entity Type: Individual
Name: MRS. Elaine Marie Nelson, COSMETIC THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: COSMETIC THERAPIST
Enumeration Date: Jan 27, 2020
Last Updated: Jan 27, 2020

Practice Location

Address: COSMETIC LASER INC
Address 2: 8353 MENTOR AVE. UNIT 7
City: Mentor
State: Ohio
ZIP Code: 44077
Phone: (440) 477-4074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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