Jaella Mae Loralea Nelson

NPI #1699437319 in Eagle River, Alaska

Provider Information

NPI Number
1699437319
Entity Type
Individual
Name
Jaella Mae Loralea Nelson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 11, 2021
Last Updated
Oct 11, 2021

Practice Location

Address
16941 N EAGLE RIVER LOOP RD STE 3
State
Alaska
ZIP Code
99577-7824
Phone
(907) 726-5330

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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